INSTITUTE FOR HEALTHCARE IMPROVEMENT · 2017-03-24 · Return of Organization Exempt From Income Tax OMB No. 1545-0047 Form 990 Under section 501(c), 527, or 4947(a)(1) of the Internal

INSTITUTE FOR HEALTHCARE IMPROVEMENT

OMB No. 1545-0047Return of Organization Exempt From Income TaxUnder section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)Form 990 À¾µ¹

I Do not enter Social Security numbers on this form as it may be made public. Open to Public Department of the Treasury

Internal Revenue Service I Information about Form 990 and its instructions is at www.irs.gov/form990. Inspection

, 2015, and ending , 20A For the 2015 calendar year, or tax year beginningD Employer identification numberC Name of organization

Check if applicable:B

Addresschange Doing Business As

E Telephone numberNumber and street (or P.O. box if mail is not delivered to street address) Room/suiteName change

Initial return

Terminated City or town, state or province, country, and ZIP or foreign postal code

Amendedreturn

G Gross receipts $

Applicationpending

H(a) Is this a group return forsubordinates?

F Name and address of principal officer: Yes No

Are all subordinates included? Yes NoH(b)

If "No," attach a list. (see instructions)Tax-exempt status:I J501(c) ( ) (insert no.) 4947(a)(1) or 527501(c)(3)

I IWebsite:J H(c) Group exemption number

IK Form of organization: Corporation Trust Association Other L Year of formation: M State of legal domicile:

Summary Part I

1 Briefly describe the organization's mission or most significant activities:

I2

3

4

5

6

7

Check this box

Number of voting members of the governing body (Part VI, line 1a)

Number of independent voting members of the governing body (Part VI, line 1b)

Total number of individuals employed in calendar year 2015 (Part V, line 2a)

Total number of volunteers (estimate if necessary)

Total unrelated business revenue from Part VIII, column (C), line 12

Net unrelated business taxable income from Form 990-T, line 34

if the organization discontinued its operations or disposed of more than 25% of its net assets.

3

4

5

6

7a

7b

m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

a m m m m m m m m m m m m m m m m m m m m m m mb m m m m m m m m m m m m m m m m m m m m m m m m

Ac

tiv

itie

s &

Go

vern

an

ce

Prior Year Current Year

COPY FOR

PUBLIC INSPECTION

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

Contributions and grants (Part VIII, line 1h) m m m m m m m m m m m m m mProgram service revenue (Part VIII, line 2g)

Investment income (Part VIII, column (A), lines 3, 4, and 7d)

Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)

Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12)

Grants and similar amounts paid (Part IX, column (A), lines 1-3)

Benefits paid to or for members (Part IX, column (A), line 4)

Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10)

Professional fundraising fees (Part IX, column (A), line 11e)

Total fundraising expenses (Part IX, column (D), line 25)

Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e)

Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25)

Revenue less expenses. Subtract line 18 from line 12

Total assets (Part X, line 16)

Total liabilities (Part X, line 26)

Net assets or fund balances. Subtract line 21 from line 20

m m m m m m m m m m m m m mm m m m m

m m m m m m m m m m m mm m m m m m m

Re

ven

ue

m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m

m m m m m m mI

a m m m m m m m m m m m m m m m m mb

m m m m m m m m m m m m m m m mm m m m m m m m m mm m m m m m m m m m m m m m m m m m m m

Exp

en

ses

Beginning of Current Year End of Year

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m mN

et

As

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ala

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es

Signature BlockPart II Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it istrue, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

SignHere

M Date

M Type or print name and title

Print/Type preparer's name Preparer's signature Date PTINCheck ifPaid

Preparer

Use Only

self-employed

II

IFirm's name

Firm's address

Firm's EIN

Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) Yes Nom m m m m m m m m m m m m m m m m m m m m m m m mFor Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2015)

JSA5E1065 1.000

05/01 04/30 16

INSTITUTE FOR HEALTHCARE IMPROVEMENT38-3017223

20 UNIVERSITY ROAD (617) 301-4800

CAMBRIDGE, MA 02138 60,983,613.DEREK FEELEY X

20 UNIVERSITY ROAD CAMBRIDGE, MA 02138X

HTTP://WWW.IHI.ORGX 1992 MA

TO IMPROVE HEALTH AND HEALTH CARE WORLDWIDE.

15.13.

213.41.

0.0.

8,103,171. 9,945,411.33,168,275. 33,993,330.9,109,817. 5,688,537.

140,043. 188,410.50,521,306. 49,815,688.2,595,533. 3,540,706.

0. 0.19,383,049. 22,103,330.

0. 0.0.

18,744,232. 21,100,657.40,722,814. 46,744,693.9,798,492. 3,070,995.

101,928,812. 104,104,264.10,285,410. 16,363,471.91,643,402. 87,740,793.

Signature of officer

PHILLIP GROFF 03/03/2017 P01247783KPMG LLP 13-556520760 SOUTH STREET BOSTON, MA 02111 617-988-1000

X

75649T 1592 V 15-7.18 2352032 PAGE 2

pgroff

Signature

Application for Extension of Time To File anExempt Organization Return

Form 8868(Rev. January 2014) OMB No. 1545-1709I File a separate application for each return.Department of the TreasuryInternal Revenue Service I Information about Form 8868 and its instructions is at www.irs.gov/form8868.%% IIf you are filing for an Automatic 3-Month Extension, complete only Part I and check this box

If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II (on page 2 of this form).m m m m m m m m m m m m m m m m m

Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed Form 8868.

Electronic filing (e-file). You can electronically file Form 8868 if you need a 3-month automatic extension of time to file (6 months fora corporation required to file Form 990-T), or an additional (not automatic) 3-month extension of time. You can electronically file Form8868 to request an extension of time to file any of the forms listed in Part I or Part II with the exception of Form 8870, InformationReturn for Transfers Associated With Certain Personal Benefit Contracts, which must be sent to the IRS in paper format (seeinstructions). For more details on the electronic filing of this form, visit www.irs.gov/efile and click on e-file for Charities & Nonprofits.

Automatic 3-Month Extension of Time. Only submit original (no copies needed). Part I A corporation required to file Form 990-T and requesting an automatic 6-month extension - check this box and complete

Part I only Im m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mAll other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of timeto file income tax returns. Enter filer's identifying number, see instructions

Name of exempt organization or other filer, see instructions. Employer identification number (EIN) orType orprint

File by thedue date forfiling yourreturn. Seeinstructions.

Number, street, and room or suite no. If a P.O. box, see instructions.

City, town or post office, state, and ZIP code. For a foreign address, see instructions.

Social security number (SSN)

m m m m m m m m m m m mEnter the Return code for the return that this application is for (file a separate application for each return)

Application

Is For

Return

Code

Application

Is For

Return

Code

Form 990 or Form 990-EZ

Form 990-BL

Form 4720 (individual)

Form 990-PF

Form 990-T (sec. 401(a) or 408(a) trust)

Form 990-T (trust other than above)

01

02

03

04

05

06

Form 990-T (corporation)

Form 1041-A

Form 4720 (other than individual)

Form 5227

Form 6069

Form 8870

07

08

09

10

11

12% IThe books are in the care ofI ITelephone No. FAX No.%% IIf the organization does not have an office or place of business in the United States, check this box

If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN)m m m m m m m m m m m m m m m

. If this isI Ifor the whole group, check this box . If it is for part of the group, check this box and attachm m m m m m m m m m m m ma list with the names and EINs of all members the extension is for.

1 I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time

until , 20 , to file the exempt organization return for the organization named above. The extension is

for the organization's return for:II calendar year 20 or

tax year beginning , 20 , and ending , 20 .

2 If the tax year entered in line 1 is for less than 12 months, check reason: Initial return Final return

Change in accounting period

3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any

nonrefundable credits. See instructions. 3a

3b

3c

$

$

$

b If this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and

estimated tax payments made. Include any prior year overpayment allowed as a credit.

c Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by using EFTPS

(Electronic Federal Tax Payment System). See instructions.

Caution. If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-EO and Form 8879-EO for payment

instructions.

For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 8868 (Rev. 1-2014)

JSA

5F8054 1.000

XX

INSTITUTE FOR HEALTHCARE IMPROVEMENTINSTITUTE FOR HEALTHCARE IMPROVEMENT 38-301722338-3017223

20 UNIVERSITY ROAD - 7TH FL20 UNIVERSITY ROAD - 7TH FL

CAMBRIDGE,MA 02138CAMBRIDGE,MA 0213800 11

AMY HOSFORD-SWANAMY HOSFORD-SWAN

617-301-4800617-301-4800 617-714-6783617-714-6783

DECEMBER 15DECEMBER 15 1616

XX MAY 1MAY 1 1515 APRIL 30APRIL 30 1616

NONENONE

NONENONE

NONENONE

KPMG LLPTWO FINANCIAL CENTER, 60 SOUTH STREETBOSTON, MA 02111

Form 8868 (Rev. 1-2014) Page 2If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II and check this box

Note. Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1).

Additional (Not Automatic) 3-Month Extension of Time. Only file the original (no copies needed). Part II Enter filer's identifying number, see instructions

Employer identification number (EIN) orName of exempt organization or other filer, see instructions.

Type orprint

Social security number (SSN)Number, street, and room or suite no. If a P.O. box, see instructions.File by thedue date forfiling yourreturn. Seeinstructions.

City, town or post office, state, and ZIP code. For a foreign address, see instructions.

Enter the Return code for the return that this application is for (file a separate application for each return)ApplicationIs For

ReturnCode

ApplicationIs For

ReturnCode

Form 990 or Form 990-EZForm 990-BLForm 4720 (individual)Form 990-PFForm 990-T (sec. 401(a) or 408(a) trust)Form 990-T (trust other than above)

010203040506

Form 1041-AForm 4720 (other than individual)Form 5227Form 6069Form 8870

0809101112

STOP! Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.The books are in the care of .

.Telephone No. Fax No..If the organization does not have an office or place of business in the United States, check this boxIf this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) . If this is

for the whole group, check this box . If it is for part of the group, check this box and attach alist with the names and EINs of all members the extension is for.456

7

I request an additional 3-month extension of time until , 20 .For calendar year , or other tax year beginning , 20 , and ending , 20 .If the tax year entered in line 5 is for less than 12 months, check reason: Initial return Final return

Change in accounting periodState in detail why you need the extension

8a

b

c

If this application is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less anynonrefundable credits. See instructions. 8a

8b

8c

$

$

$

If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits andestimated tax payments made. Include any prior year overpayment allowed as a credit and anyamount paid previously with Form 8868.Balance Due. Subtract line 8b from line 8a. Include your payment with this form, if required, by using EFTPS(Electronic Federal Tax Payment System). See instructions.

Signature and Verification must be completed for Part II only.Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of myknowledge and belief, it is true, correct, and complete, and that I am authorized to prepare this form.

Signature Title Date

Form 8868 (Rev. 1-2014)

JSA

5F8055 1.000

XX

INSTITUTE FOR HEALTHCARE IMPROVEMENTINSTITUTE FOR HEALTHCARE IMPROVEMENT 38-301722338-3017223

20 UNIVERSITY ROAD - 7TH FL20 UNIVERSITY ROAD - 7TH FL

CAMBRIDGE, MA 02138CAMBRIDGE, MA 0213800 11

AMY HOSFORD-SWANAMY HOSFORD-SWAN617-301-4800617-301-4800 617-714-6783617-714-6783

MARCH 15MARCH 15 1717MAY 1MAY 1 1515 APRIL 30APRIL 30 1616

ADDITIONAL TIME IS NEEDED TO GATHER THE INFORMATIONADDITIONAL TIME IS NEEDED TO GATHER THE INFORMATIONNECESSARY TO FILE A COMPLETE AND ACCURATE RETURN.NECESSARY TO FILE A COMPLETE AND ACCURATE RETURN.

NONENONE

NONENONE

NONENONE

KPMG LLPTWO FINANCIAL CENTER, 60 SOUTH STREETBOSTON, MA 02111

Form 990 (2015) Page 2

Statement of Program Service Accomplishments Part III Check if Schedule O contains a response or note to any line in this Part III m m m m m m m m m m m m m m m m m m m m m m m m

1 Briefly describe the organization's mission:

2 Did the organization undertake any significant program services during the year which were not listed on the

prior Form 990 or 990-EZ? Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," describe these new services on Schedule O.

3 Did the organization cease conducting, or make significant changes in how it conducts, any program

services? Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," describe these changes on Schedule O.

4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by

expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others,

the total expenses, and revenue, if any, for each program service reported.

4a (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4b (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4c (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4d Other program services (Describe in Schedule O.)

(Expenses $ including grants of $ ) (Revenue $ )

I4e Total program service expenses JSA Form 990 (2015)5E1020 1.000

INSTITUTE FOR HEALTHCARE IMPROVEMENT 38-3017223

X

PLEASE REFER TO IHI'S MISSION STATEMENT AS OUTLINED ON PAGES 1 - 3 OFSCHEDULE O.

X

X

12,287,767. 3,540,706.

GRANTS: THE ORGANIZATION RECEIVED AND EXPENDED FUNDS FOR A VARIETYOF PURPOSES IN THE PURSUIT OF ITS MISSION. THESE INCLUDED PROGRAMSTO PROVIDE PATIENT SELF-MANAGEMENT SKILLS, IMPROVE CARE AT THEBEDSIDE, DISSEMINATE MEDICAL BEST PRACTICES, IMPROVE CHRONIC CARE,AND REDUCE MORTALITY AND UNNECESSARY HOSPITALIZATIONS. THESEEFFORTS CONTRIBUTE TO IHI'S GROWING KNOWLEDGE OF OPTIMAL SYSTEMDESIGNS THAT CAN DRAMATICALLY IMPROVE PATIENT CARE.

11,616,109. 16,702,235.

STRATEGIC PARTNERS AND CONTRACTS: IHI MAINTAINS A VARIETY OFCLOSELY ALIGNED, STRATEGIC RELATIONSHIPS WITH ORGANIZATIONS INREGIONS AROUND THE WORLD, INCLUDING THE UNITED STATES, THE UNITEDKINGDOM, EUROPE, NEW ZEALAND, MIDDLE EAST, ASIA, AND LATINAMERICA. CONTRACTED SERVICES ARE FOCUSED ON ACHIEVING STRATEGICOBJECTIVES, SYSTEM-LEVEL IMPROVEMENT, THE IHI FELLOWSHIP PROGRAMAND CAPABILITY BUILDING.

9,029,708. 10,348,571.

ATTACHMENT 1

ATTACHMENT 26,120,284. 7,130,934.

39,053,868.

75649T 1592 V 15-7.18 2352032 PAGE 3

Form 990 (2015) Page 3

Checklist of Required Schedules Part IV Yes No

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes,"

complete Schedule A 1

2

3

4

5

6

7

8

9

10

11a

11b

11c

11d

11e

11f

12a

12b

13

14a

14b

15

16

17

18

19

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIs the organization required to complete Schedule B, Schedule of Contributors (see instructions)? m m m m m m m m m mDid the organization engage in direct or indirect political campaign activities on behalf of or in opposition to

candidates for public office? If "Yes," complete Schedule C, Part I m m m m m m m m m m m m m m m m m m m m m m m m m m mSection 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h)

election in effect during the tax year? If "Yes," complete Schedule C, Part II m m m m m m m m m m m m m m m m m m m m m mIs the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,

assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,

Part III m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization maintain any donor advised funds or any similar funds or accounts for which donors

have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If

"Yes," complete Schedule D, Part I m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization receive or hold a conservation easement, including easements to preserve open space,

the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II m m m m m m m m m mDid the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"

complete Schedule D, Part III m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a

custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or

debt negotiation services? If "Yes," complete Schedule D, Part IV m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization, directly or through a related organization, hold assets in temporarily restricted

endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V m m m m m m m mIf the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI,

VII, VIII, IX, or X as applicable.

a

b

c

d

e

f

a

Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes,"

complete Schedule D, Part VI m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization report an amount for investments-other securities in Part X, line 12 that is 5% or more

of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII m m m m m m m m m m m m m m m m mDid the organization report an amount for investments-program related in Part X, line 13 that is 5% or more

of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII m m m m m m m m m m m m m m m m mDid the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets

reported in Part X, line 16? If "Yes," complete Schedule D, Part IX m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X

Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses

the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X m m m m m mDid the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete

Schedule D, Parts XI and XII m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mb

a

b

Was the organization included in consolidated, independent audited financial statements for the tax year? If

"Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional mIs the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E m m m m m m m m m m mDid the organization maintain an office, employees, or agents outside of the United States?m m m m m m m m m m m m mDid the organization have aggregate revenues or expenses of more than $10,000 from grantmaking,

fundraising, business, investment, and program service activities outside the United States, or aggregate

foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV m m m m m m m m m m mDid the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or

for any foreign organization? If "Yes," complete Schedule F, Parts II and IV m m m m m m m m m m m m m m m m m m m m m mDid the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other

assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and IV m m m m m m m m m m m m m m m mDid the organization report a total of more than $15,000 of expenses for professional fundraising services on

Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) m m m m m m m m m m m m mDid the organization report more than $15,000 total of fundraising event gross income and contributions on

Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?

If "Yes," complete Schedule G, Part III m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mForm 990 (2015)

JSA5E1021 1.000


XX

X

X

X

X

X

X

X

X

X

X

XX

X

X

X XX

X

X

X

X

X

X

75649T 1592 V 15-7.18 2352032 PAGE 4

Form 990 (2015) Page 4

Checklist of Required Schedules (continued) Part IV Yes No

20a

20b

21

22

23

24a

24b

24c

24d

25a

25b

26

27

28a

28b

28c

29

30

31

32

33

34

35a

35b

36

37

38

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

a

b

a

b

c

d

Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H

If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?m m m m m m m m m m m m m

m m m m mDid the organization report more than $5,000 of grants or other assistance to any domestic organization or

domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II m m m m m m m m m mDid the organization report more than $5,000 of grants or other assistance to or for domestic individuals on

Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III m m m m m m m m m m m m m m m m m m m m m m m mDid the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the

organization's current and former officers, directors, trustees, key employees, and highest compensated

employees? If "Yes," complete Schedule J m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization have a tax-exempt bond issue with an outstanding principal amount of more than

$100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b

through 24d and complete Schedule K. If "No," go to line 25a m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?m m m m m m mDid the organization maintain an escrow account other than a refunding escrow at any time during the year

to defease any tax-exempt bonds? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? m m m m m m

a

b

a

b

c

Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit

transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I m m m m m m m m m m m mIs the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior

year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?

If "Yes," complete Schedule L, Part I m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any

current or former officers, directors, trustees, key employees, highest compensated employees, or

disqualified persons? If "Yes," complete Schedule L, Part II m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization provide a grant or other assistance to an officer, director, trustee, key employee,

substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled

entity or family member of any of these persons? If "Yes," complete Schedule L, Part III m m m m m m m m m m m m m m mWas the organization a party to a business transaction with one of the following parties (see Schedule L,

Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV m m m m m m mA family member of a current or former officer, director, trustee, or key employee? If "Yes," complete

Schedule L, Part IV m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mAn entity of which a current or former officer, director, trustee, or key employee (or a family member thereof)

was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV m m m m m m m m mDid the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M m m m mDid the organization receive contributions of art, historical treasures, or other similar assets, or qualified

conservation contributions? If "Yes," complete Schedule M m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,

Part I m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes,"

complete Schedule N, Part II m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization own 100% of an entity disregarded as separate from the organization under Regulations

sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I m m m m m m m m m m m m m m m m m m m mWas the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III,

or IV, and Part V, line 1 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization have a controlled entity within the meaning of section 512(b)(13)?a

b

m m m m m m m m m m m m m mIf "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a

controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 m m m m mSection 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable

related organization? If "Yes," complete Schedule R, Part V, line 2 m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization conduct more than 5% of its activities through an entity that is not a related organization

and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R,

Part VI m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m mDid the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and

19? Note. All Form 990 filers are required to complete Schedule O.

Form 990 (2015)

JSA

5E1030 1.000


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75649T 1592 V 15-7.18 2352032 PAGE 5

Form 990 (2015) Page 5

Statements Regarding Other IRS Filings and Tax ComplianceCheck if Schedule O contains a response or note to any line in this Part V

Part V m m m m m m m m m m m m m m m m m m m m m

Yes No

1a

1b

2a

7d

1

2

3

4

5

6

7

8

9

10

11

12

13

14

a

b

c

a

b

a

b

a

b

a

b

c

a

b

a

b

c

d

e

f

g

h

a

b

a

b

a

b

a

b

a

b

c

a

Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable m m m m m m m m m mEnter the number of Forms W-2G included in line 1a. Enter -0- if not applicable m m m m m m m m mDid the organization comply with backup withholding rules for reportable payments to vendors and

reportable gaming (gambling) winnings to prize winners? 1c

2b

3a

3b

4a

5a

5b

5c

6a

6b

7a

7b

7c

7e

7f

7g

7h

8

9a

9b

12a

13a

14a

14b

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mEnter the number of employees reported on Form W-3, Transmittal of Wage and Tax

Statements, filed for the calendar year ending with or within the year covered by this return mIf at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions) m m m m m m mDid the organization have unrelated business gross income of $1,000 or more during the year? m m m m m m m m m mIf "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation in Schedule O m m m m m m m mAt any time during the calendar year, did the organization have an interest in, or a signature or other authority

over, a financial account in a foreign country (such as a bank account, securities account, or other financial

account)? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIIf “Yes,” enter the name of the foreign country:

See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts

(FBAR).Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? m m m m m m m m mDid any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If "Yes" to line 5a or 5b, did the organization file Form 8886-T?m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDoes the organization have annual gross receipts that are normally greater than $100,000, and did the

organization solicit any contributions that were not tax deductible as charitable contributions? m m m m m m m m m m mIf "Yes," did the organization include with every solicitation an express statement that such contributions or

gifts were not tax deductible?m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mOrganizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods

and services provided to the payor? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," did the organization notify the donor of the value of the goods or services provided? m m m m m m m m m m m mDid the organization sell, exchange, or otherwise dispose of tangible personal property for which it was

required to file Form 8282? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," indicate the number of Forms 8282 filed during the year m m m m m m m m m m m m m m m mDid the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? m m m m mIf the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?

Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the

sponsoring organization have excess business holdings at any time during the year? m m m m m m m m m m m m m m m m mSponsoring organizations maintaining donor advised funds.

Did the sponsoring organization make any taxable distributions under section 4966?

Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders

m m m m m m m m m m m m m m m m mm m m m m m m m m m

10a

10b

11a

11b

12b

13b

13c

m m m m m m m m m m m m m mm m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m mGross income from other sources (Do not net amounts due or paid to other sources

against amounts due or received from them.) m m m m m m m m m m m m m m m m m m m m m m m m m m mSection 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

If "Yes," enter the amount of tax-exempt interest received or accrued during the year m m m m m mSection 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state? m m m m m m m m m m m m m m m m m mNote. See the instructions for additional information the organization must report on Schedule O.

Enter the amount of reserves the organization is required to maintain by the states in which

the organization is licensed to issue qualified health plans m m m m m m m m m m m m m m m m m m m mEnter the amount of reserves on hand m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization receive any payments for indoor tanning services during the tax year? m m m m m m m m m m m m m

b If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O m m m m m mJSA

Form 990 (2015)5E1040 1.000


1890.

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75649T 1592 V 15-7.18 2352032 PAGE 6

Form 990 (2015) Page 6

Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" Part VI response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

m m m m m m m m m m m m m m m m m m m m m m m mCheck if Schedule O contains a response or note to any line in this Part VI

Section A. Governing Body and ManagementYes No

1a

1b

1

2

3

4

5

6

7

8

a

b

a

b

a

b

Enter the number of voting members of the governing body at the end of the tax year

If there are material differences in voting rights among members of the governing body, or if the governing

body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

Enter the number of voting members included in line 1a, above, who are independent

m m m m m

m m m m m2

3

4

5

6

7a

7b

8a

8b

9

10a

10b

11a

12a

12b

12c

13

14

15a

15b

16a

16b

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with

any other officer, director, trustee, or key employee? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization delegate control over management duties customarily performed by or under the direct

supervision of officers, directors, or trustees, or key employees to a management company or other person? m mDid the organization make any significant changes to its governing documents since the prior Form 990 was filed?

Did the organization become aware during the year of a significant diversion of the organization's assets?

Did the organization have members or stockholders?

m m m m m mm m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization have members, stockholders, or other persons who had the power to elect or appoint

one or more members of the governing body? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mAre any governance decisions of the organization reserved to (or subject to approval by) members,

stockholders, or persons other than the governing body? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization contemporaneously document the meetings held or written actions undertaken during

the year by the following:

The governing body?

Each committee with authority to act on behalf of the governing body?

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m

9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached atthe organization's mailing address? If "Yes," provide the names and addresses in Schedule O m m m m m m m m m m m

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)Yes No

10

11

12

13

14

15

16

a

b

a

b

a

b

c

a

b

a

b

Did the organization have local chapters, branches, or affiliates? m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," did the organization have written policies and procedures governing the activities of such chapters,

affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? m m mHas the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? mDescribe in Schedule O the process, if any, used by the organization to review this Form 990.

Did the organization have a written conflict of interest policy? If "No," go to line 13 m m m m m m m m m m m m m m m mWere officers, directors, or trustees, and key employees required to disclose annually interests that could give

rise to conflicts? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"

describe in Schedule O how this was done m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization have a written whistleblower policy?

Did the organization have a written document retention and destruction policy?

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m

Did the process for determining compensation of the following persons include a review and approval by

independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization's CEO, Executive Director, or top management official

Other officers or key employees of the organization

If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).

m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement

with a taxable entity during the year? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its

participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard theorganization's exempt status with respect to such arrangements? m m m m m m m m m m m m m m m m m m m m m m m m m

Section C. Disclosure

I17

18

19

20

List the states with which a copy of this Form 990 is required to be filed

Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501(c)(3)s only)available for public inspection. Indicate how you made these available. Check all that apply.

Own website Another's website Upon request Other (explain in Schedule O)

Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and

financial statements available to the public during the tax year.

IState the name, address, and telephone number of the person who possesses the organization's books and records:

JSA Form 990 (2015)5E1042 1.000


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X

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XXX

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MA,

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AMY HOSFORD-SWAN 20 UNIVERSITY ROAD CAMBRIDGE, MA 02138 617-301-4800

75649T 1592 V 15-7.18 2352032 PAGE 7

Form 990 (2015) Page 7Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, andIndependent Contractors

Part VII

Check if Schedule O contains a response or note to any line in this Part VII m m m m m m m m m m m m m m m m m m m m m mSection A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within theorganization's tax year.

% List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount ofcompensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

%%

List all of the organization's current key employees, if any. See instructions for definition of "key employee."

List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee)who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from theorganization and any related organizations.

%%

List all of the organization's former officers, key employees, and highest compensated employees who received more than$100,000 of reportable compensation from the organization and any related organizations.

List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of theorganization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highestcompensated employees; and former such persons.

Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

(C)

Position

(do not check more than one

box, unless person is both an

officer and a director/trustee)

(A) (B) (D) (E) (F)

Name and Title Average

hours per

week (list any

hours for

related

organizations

below dotted

line)

Reportablecompensation

from

the

organization(W-2/1099-MISC)

Reportablecompensation from

related

organizations

(W-2/1099-MISC)

Estimatedamount of

other

compensation

from theorganization

and related

organizations

Ind

ivid

ua

l truste

eo

r dire

ctor

Institu

tion

al tru

ste

e

Office

r

Key e

mp

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Hig

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en

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e

Fo

rme

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(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

Form 990 (2015)JSA5E1041 1.000


MAUREEN BISOGNANO 40.00PRESIDENT/CEO UNTIL 1/1/2016 0. X X 809,806. 0. 20,527.JAMES M. ANDERSON 1.00DIRECTOR 0. X 0. 0. 0.THOMAS W. CHAPMAN, MPH, EDD 1.00DIRECTOR 0. X 0. 0. 0.A. BLANTON GODFREY, PHD 1.00DIRECTOR 0. X 0. 0. 0.MICHAEL DOWLING 1.00SECRETARY/TREASURER 0. X 0. 0. 0.GARY S. KAPLAN, MD 1.00BOARD CHAIR 0. X 0. 0. 0.RUDOLPH F. PIERCE, ESQ 1.00DIRECTOR 0. X 0. 0. 0.BRENT C. JAMES, MD, MSTAT 1.00DIRECTOR 0. X 5,000. 0. 0.ELLIOTT S. FISHER, MD, MPH 1.00DIRECTOR 0. X 0. 0. 0.JENNIE CHIN HANSEN 1.00DIRECTOR 0. X 0. 0. 0.HELEN HASKELL, MA 1.00DIRECTOR 0. X 0. 0. 0.ARNOLD MILSTEIN, MD, PHD 1.00DIRECTOR 0. X 0. 0. 0.NANCY L. SNYDERMAN, MD 1.00DIRECTOR 0. X 0. 0. 0.MARK D. SMITH, MD, MBA 1.00DIRECTOR 0. X 0. 0. 0.

75649T 1592 V 15-7.18 2352032 PAGE 8

Form 990 (2015) Page 8

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) Part VII

(A) (B) (C) (D) (E) (F)

Estimated

amount of

other

compensation

from the

organization

and related

organizations

Name and title Average

hours per

week (list any

hours for

related

organizations

below dotted

line)

Position





fromthe



relatedorganizations

(W-2/1099-MISC)

Ind

ivid

ua

l truste

eo

r dire

cto

r

Institu

tion

al tru

stee

Office

r

Key e

mp

loye

e

Hig

he

st com

pe

nsa

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em

plo

yee

Fo

rme

r

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m I1b Sub-total

m m m m m m m m m m m m m Ic Total from continuation sheets to Part VII, Section Am m m m m m m m m m m m m m m m m m m m m m m m m m m m Id Total (add lines 1b and 1c)

2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 ofreportable compensation from the organization I

Yes No

3 Did the organization list any former officer, director, or trustee, key employee, or highest compensatedemployee on line 1a? If "Yes," complete Schedule J for such individual 3m m m m m m m m m m m m m m m m m m m m m m m m m m

4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from theorganization and related organizations greater than $150,000? If “Yes,” complete Schedule J for suchindividual 4m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individualfor services rendered to the organization? If “Yes,” complete Schedule J for such person 5m m m m m m m m m m m m m m m m

Section B. Independent Contractors

1 Complete this table for your five highest compensated independent contractors that received more than $100,000 ofcompensation from the organization. Report compensation for the calendar year ending with or within the organization's taxyear.

(A)Name and business address

(B)Description of services

(C)Compensation

2 Total number of independent contractors (including but not limited to those listed above) who receivedmore than $100,000 in compensation from the organization I

JSA Form 990 (2015)5E1055 1.000


( 15) ENRIQUE RUELAS, MD, MPA, MHSC 3.00DIRECTOR 0. X 50,004. 0. 0.

( 16) DONALD GOLDMANN, MD 40.00CHIEF SCI. & MEDICAL OFFICER 0. X 425,489. 0. 20,689.

( 17) JOANNE HEALY 40.00SENIOR VICE PRESIDENT 0. X 315,553. 0. 20,218.

( 18) AMY HOSFORD-SWAN 40.00CHIEF FINANCIAL OFFICER 0. X 315,553. 0. 6,236.

( 19) CAROL BEASLEY 40.00SENIOR VICE PRESIDENT 0. X 310,329. 0. 11,191.

( 20) PIERRE BARKER 40.00SENIOR VICE PRESIDENT 0. X 527,851. 0. 21,878.

( 21) TRISSA TORRES 40.00SENIOR VICE PRESIDENT 0. X 330,684. 0. 43,369.

( 22) DEREK FEELEY -PRES FROM 1/1/16 40.00EXEC VP/COO UNTIL 12/31/15 0. X 522,986. 0. 50,206.

( 23) KEDAR MATE 40.00SENIOR VICE PRESIDENT 0. X 323,900. 0. 43,204.

( 24) PAUL HAMNETT 40.00VICE PRESIDENT OF ENGINEERING 0. X 225,289. 0. 22,051.

( 25) KENNETH TEBBETTS 40.00VICE PRESIDENT HUMAN RESOURCES 0. X 282,254. 0. 12,666.

814,806. 0. 20,527.5,905,429. 0. 386,843.6,720,235. 0. 407,370.

45

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X

ATTACHMENT 3

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75649T 1592 V 15-7.18 2352032 PAGE 9

Form 990 (2015) Page 8

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) Part VII

(A) (B) (C) (D) (E) (F)

Estimated

amount of

other

compensation

from the

organization

and related

organizations

Name and title Average

hours per

week (list any

hours for

related

organizations

below dotted

line)

Position





fromthe



relatedorganizations

(W-2/1099-MISC)

Ind

ivid

ua

l truste

eo

r dire

cto

r

Institu

tion

al tru

stee

Office

r

Key e

mp

loye

e

Hig

he

st com

pe

nsa

ted

em

plo

yee

Fo

rme

r

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m I1b Sub-total

m m m m m m m m m m m m m Ic Total from continuation sheets to Part VII, Section Am m m m m m m m m m m m m m m m m m m m m m m m m m m m Id Total (add lines 1b and 1c)

2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 ofreportable compensation from the organization I

Yes No

3 Did the organization list any former officer, director, or trustee, key employee, or highest compensatedemployee on line 1a? If "Yes," complete Schedule J for such individual 3m m m m m m m m m m m m m m m m m m m m m m m m m m

4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from theorganization and related organizations greater than $150,000? If “Yes,” complete Schedule J for suchindividual 4m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individualfor services rendered to the organization? If “Yes,” complete Schedule J for such person 5m m m m m m m m m m m m m m m m

Section B. Independent Contractors

1 Complete this table for your five highest compensated independent contractors that received more than $100,000 ofcompensation from the organization. Report compensation for the calendar year ending with or within the organization's taxyear.

(A)Name and business address

(B)Description of services

(C)Compensation

2 Total number of independent contractors (including but not limited to those listed above) who receivedmore than $100,000 in compensation from the organization I

JSA Form 990 (2015)5E1055 1.000


45

X

X

X

( 26) NNEKA MOBISSON-ETUK 40.00EXEC. DIRECTOR OF AFRICAN OPS. 0. X 325,152. 0. 24,238.

( 27) PEDRO DELGADO 40.00EXECUTIVE DIRECTOR, BUS. DEV. 0. X 233,717. 0. 5,886.

( 28) AZHAR ALI 40.00EXECUTIVE DIRECTOR 0. X 204,273. 0. 5,790.

( 29) CAROL HARADEN 40.00VICE PRESIDENT 0. X 265,933. 0. 11,973.

( 30) ANDREA KABCENELL 40.00VICE PRESIDENT 0. X 249,496. 0. 21,227.

( 31) ROBERT LLOYD 40.00EXEC DIR PERFORMANCE IMPROV 0. X 243,039. 0. 18,663.

( 32) PATRICIA RUTHERFORD 40.00VICE PRESIDENT 0. X 246,522. 0. 11,212.

( 33) KATHARINE LUTHER 40.00VICE PRESIDENT 0. X 256,655. 0. 36,146.

( 34) DONALD M. BERWICK, MD 18.00FORMER PRESIDENT/CEO, FACULTY 0. X 250,750. 0. 0.

75649T 1592 V 15-7.18 2352032 PAGE 10

Form 990 (2015) Page 9

Statement of Revenue Part VIII Check if Schedule O contains a response or note to any line in this Part VIII m m m m m m m m m m m m m m m m m m m m m m m m

(C)Unrelatedbusinessrevenue

(B)Related or

exemptfunctionrevenue

(D)Revenue

excluded from taxunder sections

512-514

(A)

Total revenue

1a

1b

1c

1d

1e

1f

1a

b

c

d

Federated campaigns

Membership dues

Fundraising events

Related organizations

m m m m m m m mm m m m m m m m m m

m m m m m m m m mm m m m m m m m

f

e Government grants (contributions) m m

g

2a

b

c

d

All other contributions, gifts, grants,

and similar amounts not included above mNoncash contributions included in lines 1a-1f: $

Co

ntr

ibu

tio

ns,

Gif

ts,

Gra

nts

an

d O

the

r S

imil

ar

Am

ou

nts

Ih Total. Add lines 1a-1f m m m m m m m m m m m m m m m m m mBusiness Code

f

e

6a

b

c

b

c

All other program service revenue m m m m mIg Total. Add lines 2a-2fP

rog

ram

Serv

ice R

even

ue

m m m m m m m m m m m m m m m m m m3 Investment income (including dividends, interest,

and other similar amounts) III

I

I

I

I

I

m m m m m m m m m m m m m m m m4

5

Income from investment of tax-exempt bond proceeds

Royalties

mm m m m m m m m m m m m m m m m m m m m m m m m(i) Real (ii) Personal

Gross rents

Less: rental expenses

Rental income or (loss)

m m m m m m m mm m m

m md Net rental income or (loss) m m m m m m m m m m m m m m m m

(i) Securities (ii) Other7a Gross amount from sales of

assets other than inventory

Less: cost or other basis

and sales expenses

Gain or (loss)

m m m mm m m m m m m

d Net gain or (loss) m m m m m m m m m m m m m m m m m m m m8a

b

9a

b

10a

b

11a

b

c

d

e

Gross income from fundraising

events (not including $

of contributions reported on line 1c).

See Part IV, line 18

Less: direct expenses

a

b

a

b

a

b

m m m m m m m m m m mm m m m m m m m m m

c Net income or (loss) from fundraising events m m m m m m mGross income from gaming activities.

See Part IV, line 19 m m m m m m m m m m mLess: direct expenses m m m m m m m m m m

c Net income or (loss) from gaming activities m m m m m m mGross sales of inventory, less

returns and allowances m m m m m m m m mLess: cost of goods sold m m m m m m m m m

c Net income or (loss) from sales of inventory m m m m m m m mMiscellaneous Revenue Business Code

All other revenue

Total. Add lines 11a-11d

m m m m m m m m m m m m mIm m m m m m m m m m m m m m m mI12 Total revenue. See instructions. m m m m m m m m m m m m m

Oth

er

Reven

ue

JSA (2015)Form 9905E1051 1.000


1,172,869.

8,772,542.

9,945,411.

PARTICIPATION/MEETING/CONFERENCE FEES 900099 12,002,400. 12,002,400.

CONTRACT SERVICES 900099 18,156,688. 18,156,688.

MEMBERSHIP DUES 900099 2,267,905. 2,267,905.

OPEN SCHOOL 900099 1,566,337. 1,566,337.

33,993,330.

4,122,375. 4,122,375.

0.

0.

0.

12,734,087.

11,126,065. 41,860.

1,608,022. -41,860.

1,566,162. 1,566,162.

0.

0.

0.

OTHER REVENUE 900099 188,410. 188,410.

188,410.

49,815,688. 34,181,740. 5,688,537.

75649T 1592 V 15-7.18 2352032 PAGE 11

Form 990 (2015) Page 10

Statement of Functional Expenses Part IX Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).

Check if Schedule O contains a response or note to any line in this Part IX m m m m m m m m m m m m m m m m m m m m m m m m(A) (B) (C) (D)Do not include amounts reported on lines 6b, 7b,

8b, 9b, and 10b of Part VIII.Total expenses Program service

expensesManagement andgeneral expenses

Fundraisingexpenses

1 Grants and other assistance to domestic organizations

and domestic governments. See Part IV, line 21 m m m m2 Grants and other assistance to domestic

individuals. See Part IV, line 22 m m m m m m m m m3 Grants and other assistance to foreign

organizations, foreign governments, and foreign

individuals. See Part IV, lines 15 and 16 m m m m m4 Benefits paid to or for members m m m m m m m m m5 Compensation of current officers, directors,

trustees, and key employees m m m m m m m m m m6 Compensation not included above, to disqualified

persons (as defined under section 4958(f)(1)) and

persons described in section 4958(c)(3)(B) m m m m m m7 Other salaries and wages m m m m m m m m m m m m8 Pension plan accruals and contributions (include

section 401(k) and 403(b) employer contributions)

9 Other employee benefits

Payroll taxes

Fees for services (non-employees):

m m m m m m m m m m m m10

11

m m m m m m m m m m m m m m m m m mManagement

Legal

Accounting

Lobbying

12

13

14

15

16

17

18

19

20

21

22

23

24

a

b

c

d

e

f

g

m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m mProfessional fundraising services. See Part IV, line 17 mInvestment management fees m m m m m m m m mOther. (If line 11g amount exceeds 10% of line 25, column

(A) amount, list line 11g expenses on Schedule O.) m m m m m mAdvertising and promotion

Office expenses

Information technology

m m m m m m m m m m mm m m m m m m m m m m m m m m mm m m m m m m m m m m m m

Royalties

Occupancy

Travel

m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m mPayments of travel or entertainment expenses

for any federal, state, or local public officials

Conferences, conventions, and meetings

Interest

Payments to affiliates

Depreciation, depletion, and amortization

Insurance

m m m mm m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m mm m m m

m m m m m m m m m m m m m m m m m m mOther expenses. Itemize expenses not covered

above (List miscellaneous expenses in line 24e. If

line 24e amount exceeds 10% of line 25, column

(A) amount, list line 24e expenses on Schedule O.)

a

b

c

d

e All other expenses

25 Total functional expenses. Add lines 1 through 24e

26 Joint costs. Complete this line only if theorganization reported in column (B) joint costsfrom a combined educational campaign andfundraising solicitation. Check here I iffollowing SOP 98-2 (ASC 958-720) m m m m m m m

JSA Form 990 (2015)5E1052 1.000


2,452,053. 2,452,053.

0.

1,088,653. 1,088,653.0.

3,849,698. 1,686,745. 2,162,953.

0.14,303,319. 11,891,530. 2,411,789.

762,437. 639,196. 123,241.1,946,172. 1,223,013. 723,159.1,241,704. 1,040,994. 200,710.

0.139,776. 122,471. 17,305.133,721. 114,890. 18,831.

0.0.

161,023. 161,023.

623,196. 490,515. 132,681.672,203. 608,510. 63,693.351,992. 284,971. 67,021.782,361. 549,464. 232,897.

0.1,192,298. 1,000,035. 192,263.3,746,141. 3,439,360. 306,781.

0.3,550,545. 3,467,823. 82,722.

0.0.

1,032,287. 865,428. 166,859.153,647. 129,603. 24,044.

CONSULTING 7,835,831. 7,284,856. 550,975.EDUCATION & TRAINING 257,905. 224,491. 33,414.INTERNATIONAL TAXES 265,289. 265,289.MISCELLANEOUS 202,442. 183,978. 18,464.

46,744,693. 39,053,868. 7,690,825.

0.

75649T 1592 V 15-7.18 2352032 PAGE 12

Form 990 (2015) Page 11Balance SheetPart X Check if Schedule O contains a response or note to any line in this Part X m m m m m m m m m m m m m m m m m m m m m

(A)Beginning of year

(B)End of year

Cash - non-interest-bearing

Savings and temporary cash investments

Pledges and grants receivable, net

Accounts receivable, net

1

2

3

4

5

1

2

3

4

5

6

7

8

9

10c

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m

Loans and other receivables from current and former officers, directors,

trustees, key employees, and highest compensated employees.

Complete Part II of Schedule L m m m m m m m m m m m m m m m m m m m m m m m m mLoans and other receivables from other disqualified persons (as defined under section4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employersand sponsoring organizations of section 501(c)(9) voluntary employees' beneficiaryorganizations (see instructions). Complete Part II of Schedule L

6

m m m m m m m m m m m mNotes and loans receivable, net

Inventories for sale or use

Prepaid expenses and deferred charges

7

8

9

m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m

10a

10b

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

a Land, buildings, and equipment: cost or

other basis. Complete Part VI of Schedule D

Less: accumulated depreciationb m m m m m m m m m mInvestments - publicly traded securities

Investments - other securities. See Part IV, line 11

Investments - program-related. See Part IV, line 11

Intangible assets

Other assets. See Part IV, line 11

Total assets. Add lines 1 through 15 (must equal line 34)

m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m

m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m

As

se

ts

Accounts payable and accrued expenses

Grants payable

Deferred revenue

Tax-exempt bond liabilities

m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m

Escrow or custodial account liability. Complete Part IV of Schedule D m m m mLoans and other payables to current and former officers, directors,

trustees, key employees, highest compensated employees, and

disqualified persons. Complete Part II of Schedule L m m m m m m m m m m m m m mSecured mortgages and notes payable to unrelated third parties

Unsecured notes and loans payable to unrelated third partiesm m m m m m m

m m m m m m m m mOther liabilities (including federal income tax, payables to related third

parties, and other liabilities not included on lines 17-24). Complete Part X

of Schedule D m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mI

Total liabilities. Add lines 17 through 25 m m m m m m m m m m m m m m m m m m m m

Lia

bil

itie

s

andOrganizations that follow SFAS 117 (ASC 958), check herecomplete lines 27 through 29, and lines 33 and 34.

27

28

29

30

31

32

33

34

Unrestricted net assets

Temporarily restricted net assets

Permanently restricted net assets

Capital stock or trust principal, or current funds

Paid-in or capital surplus, or land, building, or equipment fund

Retained earnings, endowment, accumulated income, or other funds

Total net assets or fund balances

Total liabilities and net assets/fund balances

27

28

29

30

31

32

33

34

m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m

Im m m m m m m m m m m m m m m m m m m m m m m m

Organizations that do not follow SFAS 117 (ASC 958), check here

complete lines 30 through 34.

and

m m m m m m m m m m m m m m m mm m m m m m m m

m m m mm m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m mN

et

As

se

ts o

r F

un

d B

ala

nces

Form 990 (2015)

JSA

5E1053 1.000


X

0. 0.7,861,587. 10,978,686.

401,612. 987,414.4,628,330. 6,612,370.

0. 0.

0. 0.0. 0.0. 0.

655,252. 605,226.

8,453,588.6,922,535. 1,758,338. 1,531,053.ATCH 4ATCH 86,623,693. 83,389,515.

0. 0.0. 0.0. 0.0. 0.

101,928,812. 104,104,264.2,370,464. 3,977,015.

0. 0.3,006,419. 2,960,269.

0. 0.0. 0.

0. 0.0. 0.0. 0.

4,908,527. 9,426,187.10,285,410. 16,363,471.

X

88,394,383. 85,408,164.3,249,019. 2,332,629.

0. 0.

91,643,402. 87,740,793.101,928,812. 104,104,264.

75649T 1592 V 15-7.18 2352032 PAGE 13

Form 990 (2015) Page 12

Reconciliation of Net Assets Part XI Check if Schedule O contains a response or note to any line in this Part XI m m m m m m m m m m m m m m m m m m m

1

2

3

4

5

6

7

8

9

10

Total revenue (must equal Part VIII, column (A), line 12)

Total expenses (must equal Part IX, column (A), line 25)

Revenue less expenses. Subtract line 2 from line 1

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))

Net unrealized gains (losses) on investments

Donated services and use of facilities

Investment expenses

Prior period adjustments

Other changes in net assets or fund balances (explain in Schedule O)

1

2

3

4

5

6

7

8

9

10

m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m mNet assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line

33, column (B)) m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mFinancial Statements and Reporting Part XII Check if Schedule O contains a response or note to any line in this Part XII m m m m m m m m m m m m m m m m m m m

Yes No

1

2

Accounting method used to prepare the Form 990: Cash Accrual Other

If the organization changed its method of accounting from a prior year or checked "Other," explain in

Schedule O.

a Were the organization's financial statements compiled or reviewed by an independent accountant? 2a

2b

2c

3a

3b

m m m m m mIf "Yes," check a box below to indicate whether the financial statements for the year were compiled or

reviewed on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

b

c

a

Were the organization's financial statements audited by an independent accountant? m m m m m m m m m m m m m mIf "Yes," check a box below to indicate whether the financial statements for the year were audited on aseparate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight

of the audit, review, or compilation of its financial statements and selection of an independent accountant?

If the organization changed either its oversight process or selection process during the tax year, explain in

Schedule O.

3 As a result of a federal award, was the organization required to undergo an audit or audits as set forth in

the Single Audit Act and OMB Circular A-133? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mb If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the

required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.

Form 990 (2015)

JSA

5E1054 1.000


49,815,688.46,744,693.3,070,995.

91,643,402.-6,973,604.

0.0.0.0.

87,740,793.

X

X

X

X

X

X

X

75649T 1592 V 15-7.18 2352032 PAGE 14

OMB No. 1545-0047SCHEDULE A Public Charity Status and Public Support(Form 990 or 990-EZ) Complete if the organization is a section 501(c)(3) organization or a section

4947(a)(1) nonexempt charitable trust. À¾µ¹I Attach to Form 990 or Form 990-EZ.Department of the Treasury Open to Public

Inspection IInternal Revenue Service Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

Name of the organization Employer identification number

Reason for Public Charity Status (All organizations must complete this part.) See instructions. Part I The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

1

2

3

4

5

6

7

8

9

10

11

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the

hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public

described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3 % of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 331/3 % of its

support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of

one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check

the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

a

b

c

d

e

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving

the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting

organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having

control or management of the supporting organization vested in the same persons that control or manage the supported

organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with,

its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s)

that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness

requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III

functionally integrated, or Type III non-functionally integrated supporting organization.f

g

Enter the number of supported organizations

Provide the following information about the supported organization(s).

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m(i) Name of supported organization (ii) EIN (iii) Type of organization

(described on lines 1-9above (see instructions))

(iv) Is the organization

listed in your governing

document?

(v) Amount of monetarysupport (seeinstructions)

(vi) Amount ofother support (see

instructions)

Yes No

(A)

(B)

(C)

(D)

(E)

Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Schedule A (Form 990 or 990-EZ) 2015

JSA5E1210 1.000


X

75649T 1592 V 15-7.18 2352032 PAGE 15

Schedule A (Form 990 or 990-EZ) 2015 Page 2

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify underPart III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Part II

Section A. Public Support(a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) TotalICalendar year (or fiscal year beginning in)

1 Gifts, grants, contributions, andmembership fees received. (Do notinclude any "unusual grants.") m m m m m m

2 Tax revenues levied for theorganization's benefit and either paidto or expended on its behalf m m m m m m m

3 The value of services or facilitiesfurnished by a governmental unit to theorganization without charge m m m m m m m

4 Total. Add lines 1 through 3 m m m m m m m5 The portion of total contributions by

each person (other than agovernmental unit or publiclysupported organization) included online 1 that exceeds 2% of the amountshown on line 11, column (f) m m m m m m m

6 Public support. Subtract line 5 from line 4.

Section B. Total Support(a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) TotalICalendar year (or fiscal year beginning in)

7 Amounts from line 4 m m m m m m m m m m8 Gross income from interest, dividends,

payments received on securities loans,rents, royalties and income from similarsources m m m m m m m m m m m m m m m m m

9 Net income from unrelated businessactivities, whether or not the businessis regularly carried on m m m m m m m m m m

10 Other income. Do not include gain orloss from the sale of capital assets(Explain in Part VI.) m m m m m m m m m m m

11 Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions)

m m12 12

14

15

m m m m m m m m m m m m m m m m m m m m m m m m m m13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)

Iorganization, check this box and stop here m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mSection C. Computation of Public Support Percentage

%

%

14 Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f))

Public support percentage from 2014 Schedule A, Part II, line 14

m m m m m m m m15 m m m m m m m m m m m m m m m m m m m16a 33 1/3 % support test - 2015. If the organization did not check the box on line 13, and line 14 is 331/3 % or more, check

this box and stop here. The organization qualifies as a publicly supported organization II

I

II

m m m m m m m m m m m m m m m m m mb 33 1/3 % support test - 2014. If the organization did not check a box on line 13 or 16a, and line 15 is 331/3 % or more,

check this box and stop here. The organization qualifies as a publicly supported organization m m m m m m m m m m m m m m m17a 10%-facts-and-circumstances test - 2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is

10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in

Part VI how the organization meets the "facts-and-circumstances” test. The organization qualifies as a publicly supported

organization m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mb 10%-facts-and-circumstances test - 2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line

15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.

Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly

supported organization m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see

instructions m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mSchedule A (Form 990 or 990-EZ) 2015

JSA

5E1220 1.000


8,344,929. 9,117,386. 8,512,462. 8,103,171. 9,945,411. 44,023,359.

0.

0.

8,344,929. 9,117,386. 8,512,462. 8,103,171. 9,945,411. 44,023,359.

20,947,489.

23,075,870.

8,344,929. 9,117,386. 8,512,462. 8,103,171. 9,945,411. 44,023,359.

1,799,672. 2,777,070. 3,572,147. 4,919,859. 4,080,005. 17,148,753.

0.

0.

61,172,112.

158,650,642.

37.7241.33

X

75649T 1592 V 15-7.18 2352032 PAGE 16


Support Schedule for Organizations Described in Section 509(a)(2)(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II.If the organization fails to qualify under the tests listed below, please complete Part II.)

Part III

Section A. Public Support(a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) TotalICalendar year (or fiscal year beginning in)

1 Gifts, grants, contributions, and membership fees

received. (Do not include any "unusual grants.")

2 Gross receipts from admissions, merchandise

sold or services performed, or facilities

furnished in any activity that is related to the

organization's tax-exempt purpose m m m m m m3 Gross receipts from activities that are not an

unrelated trade or business under section 513 m4 Tax revenues levied for the

organization's benefit and either paid

to or expended on its behalf m m m m m m m5 The value of services or facilities

furnished by a governmental unit to the

organization without charge m m m m m m m6 Total. Add lines 1 through 5 m m m m m m m7a Amounts included on lines 1, 2, and 3

received from disqualified persons m m m mb Amounts included on lines 2 and 3

received from other than disqualified

persons that exceed the greater of $5,000

or 1% of the amount on line 13 for the year

c Add lines 7a and 7b m m m m m m m m m m m8 Public support. (Subtract line 7c from

line 6.) m m m m m m m m m m m m m m m m mSection B. Total Support

(a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) TotalICalendar year (or fiscal year beginning in)

9 Amounts from line 6 m m m m m m m m m m m10 a Gross income from interest, dividends,

payments received on securities loans,rents, royalties and income from similarsources m m m m m m m m m m m m m m m m m

b Unrelated business taxable income (less

section 511 taxes) from businesses

acquired after June 30, 1975 m m m m m mc Add lines 10a and 10b m m m m m m m m m

11 Net income from unrelated businessactivities not included in line 10b,whether or not the business is regularlycarried on m m m m m m m m m m m m m m m

12 Other income. Do not include gain or

loss from the sale of capital assets

(Explain in Part VI.) m m m m m m m m m m m13 Total support. (Add lines 9, 10c, 11,

and 12.) m m m m m m m m m m m m m m m m14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)

organization, check this box and stop here Im m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mSection C. Computation of Public Support Percentage15

16

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f))

Public support percentage from 2014 Schedule A, Part III, line 15

15

16

17

18

%

%

%

%

m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m mSection D. Computation of Investment Income Percentage17

18

19

20

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f))

Investment income percentage from 2014 Schedule A, Part III, line 17

m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m

a

b

33 1/3 % support tests - 2015. If the organization did not check the box on line 14, and line 15 is more than 331/3 %, and line

I17 is not more than 331/3 %, check this box and stop here. The organization qualifies as a publicly supported organization

33 1/3 % support tests - 2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3 %, and

Iline 18 is not more than 331/3 %, check this box and stop here. The organization qualifies as a publicly supported organization

IPrivate foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructionsJSA Schedule A (Form 990 or 990-EZ) 20155E1221 1.000


75649T 1592 V 15-7.18 2352032 PAGE 17


Supporting Organizations Part IV (Complete only if you checked a box in line 11 of Part I. If you checked 11a of Part I, complete Sections Aand B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, completeSections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes No

1

2

3

4

5

Are all of the organization’s supported organizations listed by name in the organization’s governing

documents? If "No," describe in Part VI how the supported organizations are designated. If designated by

class or purpose, describe the designation. If historic and continuing relationship, explain. 1

2

3a

3b

3c

4a

4b

4c

5a

5b

5c

6

7

8

9a

9b

9c

10a

10b

Did the organization have any supported organization that does not have an IRS determination of status

under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported

organization was described in section 509(a)(1) or (2).

a

b

c

a

b

c

a

b

c

a

b

c

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer

(b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and

satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the

organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B)

purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If

"Yes," and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign

supported organization? If "Yes," describe in Part VI how the organization had such control and discretion

despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination

under sections 501(c)(3) and 509(a)(1) or (2)? If "Yes," explain in Part VI what controls the organization used

to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B)

purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes,"

answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN

numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action;

(iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action

was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already

designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to

anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited

by one or more of its supported organizations, or (iii) other supporting organizations that also support or

benefit one or more of the filing organization’s supported organizations? If "Yes," provide detail in Part VI.

7

8

9

10

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor

(defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with

regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990 or 990-EZ).

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7?

If "Yes," complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more

disqualified persons as defined in section 4946 (other than foundation managers and organizations described

in section 509(a)(1) or (2))? If "Yes," provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which

the supporting organization had an interest? If "Yes," provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit

from, assets in which the supporting organization also had an interest? If "Yes," provide detail in Part VI.

a Was the organization subject to the excess business holdings rules of section 4943 because of section

4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated

supporting organizations)? If "Yes," answer 10b below.

b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, todetermine whether the organization had excess business holdings.)

JSA Schedule A (Form 990 or 990-EZ) 2015

5E1229 1.000


75649T 1592 V 15-7.18 2352032 PAGE 18


Supporting Organizations (continued) Part IV Yes No

11 Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c)

below, the governing body of a supported organization?

A family member of a person described in (a) above?

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

a

b

c

11a

11b

11c

1

2

1

1

2

3

Section B. Type I Supporting Organizations

Yes No

1 Did the directors, trustees, or membership of one or more supported organizations have the power to

regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the

tax year? If "No," describe in Part VI how the supported organization(s) effectively operated, supervised, or

controlled the organization’s activities. If the organization had more than one supported organization,

describe how the powers to appoint and/or remove directors or trustees were allocated among the supported

organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

2 Did the organization operate for the benefit of any supported organization other than the supportedorganization(s) that operated, supervised, or controlled the supporting organization? If "Yes," explain in PartVI how providing such benefit carried out the purposes of the supported organization(s) that operated,supervised, or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes No

1 Were a majority of the organization’s directors or trustees during the tax year also a majority of the directorsor trustees of each of the organization’s supported organization(s)? If "No," describe in Part VI how controlor management of the supporting organization was vested in the same persons that controlled or managedthe supported organization(s).

Section D. All Type III Supporting Organizations

Yes No1 Did the organization provide to each of its supported organizations, by the last day of the fifth month of the

organization’s tax year, (i) a written notice describing the type and amount of support provided during the priortax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies ofthe organization’s governing documents in effect on the date of notification, to the extent not previouslyprovided?

2 Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supportedorganization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI howthe organization maintained a close and continuous working relationship with the supported organization(s).

3 By reason of the relationship described in (2), did the organization’s supported organizations have asignificant voice in the organization’s investment policies and in directing the use of the organization’sincome or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’ssupported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

a

b

c

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions).

Yes No2 Activities Test. Answer (a) and (b) below.

a Did substantially all of the organization’s activities during the tax year directly further the exempt purposes ofthe supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identifythose supported organizations and explain how these activities directly furthered their exempt purposes,how the organization was responsive to those supported organizations, and how the organization determinedthat these activities constituted substantially all of its activities. 2a

2b

3a

3b

b Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or moreof the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI thereasons for the organization’s position that its supported organization(s) would have engaged in theseactivities but for the organization’s involvement.

3 Parent of Supported Organizations. Answer (a) and (b) below.

a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, ortrustees of each of the supported organizations? Provide details in Part VI.

b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of eachof its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015JSA

5E1230 1.000


75649T 1592 V 15-7.18 2352032 PAGE 19


Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations Part V

1 Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All

other Type III non-functionally integrated supporting organizations must complete Sections A through E.

(A) Prior Year(B) Current Year

Section A - Adjusted Net Income(optional)

1 Net short-term capital gain 1

2

3

4

5

2 Recoveries of prior-year distributions

3 Other gross income (see instructions)

4 Add lines 1 through 3

5 Depreciation and depletion

6 Portion of operating expenses paid or incurred for production or

collection of gross income or for management, conservation, or

maintenance of property held for production of income (see instructions) 6

7 Other expenses (see instructions) 7

88 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)

(A) Prior Year(B) Current Year

Section B - Minimum Asset Amount(optional)

1 Aggregate fair market value of all non-exempt-use assets (see

instructions for short tax year or assets held for part of year):

a Average monthly value of securities 1a

1b

1c

1d

b Average monthly cash balances

c Fair market value of other non-exempt-use assets

d Total (add lines 1a, 1b, and 1c)

e Discount claimed for blockage or other

factors (explain in detail in Part VI):

2 Acquisition indebtedness applicable to non-exempt-use assets 2

3

4

5

6

7

8

3 Subtract line 2 from line 1d

4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount,

see instructions).

5 Net value of non-exempt-use assets (subtract line 4 from line 3)

6 Multiply line 5 by .035

7 Recoveries of prior-year distributions

8 Minimum Asset Amount (add line 7 to line 6)

Current YearSection C - Distributable Amount

1 Adjusted net income for prior year (from Section A, line 8, Column A) 1

2

3

4

5

6

2 Enter 85% of line 1

3 Minimum asset amount for prior year (from Section B, line 8, Column A)

4 Enter greater of line 2 or line 3

5 Income tax imposed in prior year

6 Distributable Amount. Subtract line 5 from line 4, unless subject to

emergency temporary reduction (see instructions)

7 Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see

instructions).


JSA

5E1231 1.000


75649T 1592 V 15-7.18 2352032 PAGE 20

Schedule A (Form 990 or 990-EZ) 2015 Page 7Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued) Part V

Section D - Distributions Current Year

1

2

3

4

5

6

7

8

9

10

Amounts paid to supported organizations to accomplish exempt purposes

Amounts paid to perform activity that directly furthers exempt purposes of supported

organizations, in excess of income from activity

Administrative expenses paid to accomplish exempt purposes of supported organizations

Amounts paid to acquire exempt-use assets

Qualified set-aside amounts (prior IRS approval required)

Other distributions (describe in Part VI). See instructions.

Total annual distributions. Add lines 1 through 6.

Distributions to attentive supported organizations to which the organization is responsive

(provide details in Part VI). See instructions.

Distributable amount for 2015 from Section C, line 6

Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)(i)

Excess Distributions

(ii)Underdistributions

Pre-2015

(iii)Distributable

Amount for 2015

1

2

3

4

5

6

7

8

Distributable amount for 2015 from Section C, line 6

Underdistributions, if any, for years prior to 2015

(reasonable cause required-see instructions)

Excess distributions carryover, if any, to 2015:

From 2013

a

b

c

d

e

f

g

h

i

j

a

b

c

a

b

c

d

e

m m m m m m m mFrom 2014

Total of lines 3a through e

Applied to underdistributions of prior years

Applied to 2015 distributable amount

Carryover from 2010 not applied (see instructions)

Remainder. Subtract lines 3g, 3h, and 3i from 3f.

Distributions for 2015 from Section

D, line 7:

Applied to underdistributions of prior years

Applied to 2015 distributable amount

Remainder. Subtract lines 4a and 4b from 4.

Remaining underdistributions for years prior to 2015, if

any. Subtract lines 3g and 4a from line 2 (if amount

greater than zero, see instructions).

m m m m m m m m

$

Remaining underdistributions for 2015. Subtract lines 3h

and 4b from line 1 (if amount greater than zero, see

instructions).

Excess distributions carryover to 2016. Add lines 3j

and 4c.

Breakdown of line 7:

Excess from 2013 m m m m m m m mExcess from 2014

Excess from 2015

m m m m m m m mm m m m m m m m


JSA

5E1232 1.000


75649T 1592 V 15-7.18 2352032 PAGE 21


Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b;and Part III, line 12. Also complete this part for any additional information. (See instructions).

Part VI

Schedule A (Form 990 or 990-EZ) 2015JSA5E1225 1.000


75649T 1592 V 15-7.18 2352032 PAGE 22

OMB No. 1545-0047Schedule B

À¾µ¹Schedule of Contributors

(Form 990, 990-EZ,or 990-PF)Department of the TreasuryInternal Revenue Service

I Attach to Form 990, Form 990-EZ, or Form 990-PF.

I Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.


Organization type (check one):

Filers of:

Form 990 or 990-EZ

Section:

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Form 990-PF

Check if your organization is covered by the General Rule or a Special Rule.

Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See

instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000

or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a

contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 1/3 % support test of the

regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line

13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1)

$5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one

contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific,

literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one

contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such

contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received

during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the

General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions

totaling $5,000 or more during the year I $m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mCaution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,

990-EZ, or 990-PF), but it must answer "No" on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its

Form 990-PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF. Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

JSA

5E1251 2.000

INSTITUTE FOR HEALTHCARE IMPROVEMENT38-3017223

X 3

X

75649T 1592 V 15-7.18 2352032 PAGE 23

SCHEDULE D OMB No. 1545-0047Supplemental Financial Statements(Form 990) I Complete if the organization answered "Yes" on Form 990,

Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. À¾µ¹I Attach to Form 990. Open to Public Department of the Treasury I Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.Internal Revenue Service Inspection


Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

Part I

(a) Donor advised funds (b) Funds and other accounts

1

2

3

4

5

6

Total number at end of year

Aggregate value of contributions to (during year)

Aggregate value of grants from (during year)

Aggregate value at end of year

m m m m m m m m m m mm m

m m m m m m m m m mDid the organization inform all donors and donor advisors in writing that the assets held in donor advised

funds are the organization's property, subject to the organization's exclusive legal control? Yes Nom m m m m m m m m m mDid the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used

only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose

conferring impermissible private benefit? Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mConservation Easements.Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Part II

1 Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education)

Protection of natural habitat

Preservation of open space

Preservation of a historically important land area

Preservation of a certified historic structure

2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation

easement on the last day of the tax year. Held at the End of the Tax Year

2a

2b

2c

2d

a

b

c

d

Total number of conservation easements

Total acreage restricted by conservation easements

Number of conservation easements on a certified historic structure included in (a)

m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m

m m m m mNumber of conservation easements included in (c) acquired af ter 8 /17/06, and not on a

historic structure listed in the National Register m m m m m m m m m m m m m m m m m m m m m m m m3

4

5

6

7

8

9

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the

tax year IINumber of states where property subject to conservation easement is located

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of

violations, and enforcement of the conservation easements it holds? m m m m m m m m m m m m m m m m m m m m m m Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year

IAmount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year

I $

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i)

and section 170(h)(4)(B)(ii)? Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIn Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and

balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the

organization's accounting for conservation easements.

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

Part III

1a If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheetworks of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance ofpublic service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

b If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheetworks of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance ofpublic service, provide the following amounts relating to these items:

I(i)

(ii)

Revenue included in Form 990, Part VIII, line 1

Assets included in Form 990, Part X

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m $

$Im m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the

following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Ia Revenue included in Form 990, Part VIII, line 1Assets included in Form 990, Part X

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m $$Ib m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) 2015JSA

5E1268 1.000


75649T 1592 V 15-7.18 2352032 PAGE 28

Schedule D (Form 990) 2015 Page 2Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) Part III

3

4

5

Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its

Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part

XIII.

collection items (check all that apply):

a

b

c

Public exhibition

Scholarly research

Preservation for future generations

d

e

Loan or exchange programs

Other

During the year, did the organization solicit or receive donations of art, historical treasures, or other similar

assets to be sold to raise funds rather than to be maintained as part of the organization's collection? Yes Nom m m m m mEscrow and Custodial Arrangements.Complete if the organization answered “Yes” on Form 990, Part IV, line 9, or reported an amount on Form990, Part X, line 21.

Part IV

1

2

a

b

c

d

e

f

a

b

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not

included on Form 990, Part X?

If "Yes," explain the arrangement in Part XIII and complete the following table:

Beginning balance

Additions during the year

Distributions during the year

Ending balance

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIII

Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mAmount

1c

1d

1e

1f

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

Yes No

m m m m m m m m m mEndowment Funds.Complete if the organization answered “Yes” on Form 990, Part IV, line 10.

Part V

(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back

1

2

m m m mm m m m m m m m m m m

m m m m m m m m m m m m mm m m m m m

m m m m m m m m m m mm m m m m

m m m m m m m m

a

b

c

d

e

f

g

Beginning of year balance

Contributions

Net investment earnings, gains,

and losses

Grants or scholarships

Other expenditures for facilities

and programs

Administrative expenses

End of year balance

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Ia

b

c

a

b

Board designated or quasi-endowment %

Permanent endowment %

Temporarily restricted endowment %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the

organization by:

(i) unrelated organizations

(ii) related organizations

If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R?

Describe in Part XIII the intended uses of the organization's endowment funds.

II

3

4

Yes No

3a(i)

3a(ii)

3b

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m mLand, Buildings, and Equipment. Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Part VI

Description of property (a) Cost or other basis(investment)

(b) Cost or other basis(other)

(c) Accumulateddepreciation

(d) Book value

1a

b

c

d

e

Land

Buildings

Leasehold improvements

Equipment

Other

m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m

m m m m m m m m m mm m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m mITotal. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10c.) m m m m m m m

Schedule D (Form 990) 2015

JSA5E1269 1.000


433,077. 268,637. 164,440.1,088,877. 694,967. 393,910.6,931,634. 5,958,931. 972,703.

1,531,053.

75649T 1592 V 15-7.18 2352032 PAGE 29

Schedule D (Form 990) 2015 Page 3

Investments - Other Securities.Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

Part VII

(a) Description of security or category(including name of security)

(b) Book value (c) Method of valuation:Cost or end-of-year market value

(1) Financial derivatives m m m m m m m m m m m m m m m m m(2) Closely-held equity interests m m m m m m m m m m m m m(3) Other

(A)

(B)

(C)

(D)

(E)

(F)

(G)

(H)

ITotal. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Investments - Program Related. Complete if the organization answered "Yes" on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

Part VIII

(a) Description of investment (b) Book value (c) Method of valuation:Cost or end-of-year market value

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)


Other Assets. Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

Part IX

(a) Description (b) Book value

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

ITotal. (Column (b) must equal Form 990, Part X, col. (B) line 15.) m m m m m m m m m m m m m m m m m m m m m m m m m mOther Liabilities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

Part X

1. (a) Description of liability (b) Book value

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

Federal income taxes


2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the

organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

JSA Schedule D (Form 990) 20155E1270 1.000


DEFERRED COMPENSATION LIABILITY 3,354,601.REFUNDABLE ADVANCES 6,071,586.

9,426,187.

X

75649T 1592 V 15-7.18 2352032 PAGE 30


Reconciliation of Revenue per Audited Financial Statements With Revenue per Return.Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.

Part XI

1

2e

3

4c

5

1

2

3

4

Total revenue, gains, and other support per audited financial statements

Amounts included on line 1 but not on Form 990, Part VIII, line 12:

Net unrealized gains (losses) on investments


Recoveries of prior year grants

Other (Describe in Part XIII.)

Add lines 2a through 2d

Subtract line 2e from line 1

Amounts included on Form 990, Part VIII, line 12, but not on line 1:

Investment expenses not included on Form 990, Part VIII, line 7b


Add lines 4a and 4b

m m m m m m m m m m m m m m m m m2a

2b

2c

2d

4a

4b

a

b

c

d

e

a

b

c

m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) m m m m m m m m m m m m m m

Reconciliation of Expenses per Audited Financial Statements With Expenses per Return.Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.

Part XII

1

2e

3

4c

5

1

2

3

4

Total expenses and losses per audited financial statements

Amounts included on line 1 but not on Form 990, Part IX, line 25:


Prior year adjustments

Other losses


Add lines 2a through 2d

Subtract line 2e from line 1

Amounts included on Form 990, Part IX, line 25, but not on line 1:

Investment expenses not included on Form 990, Part VIII, line 7b


Add lines 4a and 4b

m m m m m m m m m m m m m m m m m m m m m m m m2a

2b

2c

2d

4a

4b

a

b

c

d

e

a

b

c

m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) m m m m m m m m m m m m m

Supplemental Information. Part XIII Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

JSA Schedule D (Form 990) 2015

5E1271 1.000


42,681,061.

-6,973,604.

-6,973,604.49,654,665.

161,023.

161,023.49,815,688.

46,583,670.

46,583,670.

161,023.

161,023.46,744,693.

SEE PAGE 5

75649T 1592 V 15-7.18 2352032 PAGE 31


Supplemental Information (continued) Part XIII

Schedule D (Form 990) 2015JSA

5E1226 1.000


FIN 48 (ASC 740) FOOTNOTE

PART X, LINE 2

THE INSTITUTE IS A TAX-EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3)

OF THE INTERNAL REVENUE CODE (THE CODE) AND IS GENERALLY EXEMPT FROM

FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. ACCORDINGLY,

NO PROVISION FOR FEDERAL AND STATE INCOME TAXES HAS BEEN MADE.

GAAP REQUIRES THE INSTITUTE TO EVALUATE UNCERTAIN TAX POSITIONS.

MANAGEMENT CONCLUDED AS OF AND FOR THE YEARS ENDED APRIL 30, 2016 AND

2015, THAT THE INSTITUTE DID NOT HAVE ANY LIABILITIES FOR ANY UNCERTAIN

TAX POSITIONS.

75649T 1592 V 15-7.18 2352032 PAGE 32

Statement of Activities Outside the United States OMB No. 1545-0047SCHEDULE F(Form 990) I Complete if the organization answered "Yes" on Form 990, Part IV, line 14b, 15, or 16. À¾µ¹I Attach to Form 990.

Open to Public Department of the TreasuryInternal Revenue Service I Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

Inspection Name of the organization Employer identification number

General Information on Activities Outside the United States. Complete if the organization answered "Yes" onForm 990, Part IV, line 14b.

Part I

1

2

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and other

assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the

grants or assistance? Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mFor grantmakers. Describe in Part V the organization's procedures for monitoring the use of its grants and other

assistance outside the United States.

3 Activities per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)(a) Region (b) Number of

offices in theregion

(c) Number of employees,agents, andindependentcontractors

in region

(d) Activities conducted inregion (by type) (e.g.,

fundraising, program services,investments,

grants to recipientslocated in the region)

(e) If activity listed in (d) isa program service,

describe specific type ofservice(s) in region

(f) Totalexpenditures forand investments

in region

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

3a

b

c

Sub-total m m m m m m m m m m mTotal from continuation

sheets to Part I m m m m m m mTotals (add lines 3a and 3b)

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule F (Form 990) 2015JSA

5E1274 1.000

38-3017223INSTITUTE FOR HEALTHCARE IMPROVEMENT

X

EUROPE 2. 2. PROGRAM SERVICES SEE SCHEDULE F PART V 1,264,537.

SUB-SAHARAN AFRICA 5. 5. PROGRAM SERVICES SEE SCHEDULE F PART V 3,982,335.

EAST ASIA AND THE PACIFIC PROGRAM SERVICES SEE SCHEDULE F PART V 1,185,431.

MIDDLE EAST AND NORTH AFRICA PROGRAM SERVICES SEE SCHEDULE F PART V 1,968,509.

SOUTH AMERICA PROGRAM SERVICES SEE SCHEDULE F PART V 819,954.

7. 7. 9,220,766.

7. 7. 9,220,766.

75649T 1592 V 15-7.18 2352032 PAGE 33

Schedule F (Form 990) 2015 Page 2Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990,Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

Part II

(i) Method ofvaluation

(book, FMV,appraisal,

other)

(f) Manner ofcash

disbursement

(g) Amount ofnon-cash

assistance

(h) Descriptionof non-cashassistance

(a) Name of

organization

(b) IRS code section and EIN (if applicable)

(c) Region (d) Purpose ofgrant

(e) Amount ofcash grant

1

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt

by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter II

m m m m m m m m m m m m m m m m m m m m m3 Enter total number of other organizations or entities m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

Schedule F (Form 990) 2015

JSA5E1275 1.000


SUB-SAHARAN AFRICA HEALTH CARE 392,423. WIRE



3.

75649T 1592 V 15-7.18 2352032 PAGE 34

Schedule F (Form 990) 2015 Page 3Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.Part III can be duplicated if additional space is needed.

Part III

(e) Manner ofcash

disbursement

(f) Amount ofnon-cash

assistance

(g) Descriptionof non-cashassistance

(h) Method ofvaluation

(book, FMV,appraisal,

other)

(a) Type of grant or assistance (b) Region (c) Number ofrecipients

(d) Amount of cash grant

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

Schedule F (Form 990) 2015

JSA

5E1276 1.000


75649T 1592 V 15-7.18 2352032 PAGE 35

Schedule F (Form 990) 2015 Page 4

Foreign Forms Part IV

1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"

the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign

Corporation (see Instructions for Form 926) Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization

may be required to separately file Form 3520, Annual Return To Report Transactions With Foreign

Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign

Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990) Yes Nom m m m3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes,"

the organization may be required to file Form 5471, Information Return of U.S. Persons With Respect to

Certain Foreign Corporations (see Instructions for Form 5471) Yes Nom m m m m m m m m m m m m m m m m m m m m4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a

qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621,

Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing

Fund (see Instructions for Form 8621) Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes,"

the organization may be required to file Form 8865, Return of U.S. Persons With Respect to Certain

Foreign Partnerships (see Instructions for Form 8865) Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m6 Did the organization have any operations in or related to any boycotting countries during the tax year? If

"Yes," the organization may be required to separately file Form 5713, International Boycott Report (see

Instructions for Form 5713; do not file with Form 990) Yes Nom m m m m m m m m m m m m m m m m m m m m m m mSchedule F (Form 990) 2015

JSA

5E1277 1.000


X

X

X

X

X

X

75649T 1592 V 15-7.18 2352032 PAGE 36


Supplemental InformationComplete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f)

Part V

(accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III(accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part toprovide any additional information (see instructions).

Schedule F (Form 990) 2015JSA

5E1502 1.000


FOREIGN ACTIVITIES

SCHEDULE F, PARTS I AND II

IHI'S WORK IN DEVELOPING COUNTRIES SEEKS TO SAVE LIVES THROUGH HIGHLY

LEVERAGED INTERVENTIONS AMONG LARGE POPULATIONS. THE MODELS AND METHODS

UTILIZED IN SOUTH AFRICA, MALAWI, AND GHANA ARE BORROWED FROM EFFORTS IN

THE US, UK, RUSSIA, AND PERU. THROUGH LOCAL ADAPTATION OF THESE METHODS

IN AFRICA, IHI DEVELOPED NEW STYLES OF PROTOTYPING, IMPLEMENTATION AND

SPREAD THAT CURRENTLY INFLUENCE IHI'S WORK ON LARGE POPULATIONS IN THE US

AND AROUND THE WORLD. WITH EVER-INCREASING DEMANDS TO IMPROVE ACCESS TO

HEALTH CARE AND TO MAINTAIN COST, THE US AND OTHER COUNTRIES CAN BENEFIT

FROM LESSONS LEARNED IN AFRICA WHERE DISEASE BURDENS ARE HIGH AND

RESOURCES ARE LIMITED.

MALAWI: FOUNDED IN 2006, MAIKHANDA (MEANING MOTHER AND NEONATE IN A LOCAL

DIALECT, CHICHEWA) WORKS TO REDUCE MATERNAL AND NEONATAL MORBIDITY AND

MORTALITY IN THE KASUNGU, LILONGWE, AND SALIMA DISTRICTS. IHI HAS

PARTNERED WITH THE HEALTH FOUNDATION, INSTITUTE OF CHILD HEALTH AT

UNIVERSITY COLLEGE LONDON, CINCINNATI CHILDREN'S HOSPITAL, AND WOMEN AND

CHILDREN FIRST TO MEET THESE GOALS. MAIKHANDA WORKS CLOSELY WITH

COMMUNITIES TO ENSURE THAT IMPROVEMENTS ARE POSITIVE AND SUSTAINABLE.

MAIKHANDA IS SOLELY FUNDED BY THE HEALTH FOUNDATION. IT IS A CHARITABLE

TRUST (GOVERNED BY A BOARD OF TRUSTEES) THAT EMPLOYS APPROXIMATELY 4

EMPLOYEES WORKING IN THE PROGRAM TEACHING QUALITY IMPROVEMENT

METHODOLOGIES IN HEALTH CARE FACILITIES AND NUMEROUS COMMUNITY GROUPS.

MAIKHANDA EMPLOYS ADMINISTRATIVE, CLERICAL, PROGRAM STAFF AND DRIVERS.

75649T 1592 V 15-7.18 2352032 PAGE 37



Part V



5E1502 1.000


MAIKHANDA HAS THREE LOCATIONS INCLUDING A MAIN OFFICE IN LILONGWE, AN

OFFICE IN SALIMA, AND AN OFFICE IN KASUNGU.

GHANA: PROJECT FIVES ALIVE! WORKS TO ASSIST GHANA IN ACHIEVING MILLENNIUM

DEVELOPMENT GOAL 4 - REDUCING MORTALITY IN CHILDREN UNDER FIVE BY

SIXTY-SEVEN PERCENT BY 2015. THE PROGRAM IS BEING IMPLEMENTED IN FOUR

WAVES AND IS FUNDED BY THE BILL & MELINDA GATES FOUNDATION. IHI WORKS IN

COLLABORATION WITH THE NATIONAL CATHOLIC HEALTH SERVICE TO BUILD CAPACITY

FOR CONTINUOUS IMPROVEMENT ACROSS THE HEALTH SYSTEMS AND IS CURRENTLY

SPREADING HIGH IMPACT CHANGES FOR IMPROVING CARE NATIONWIDE IN VARIOUS

HOSPITALS AND HEALTH CENTERS WITH ACTIVE COMMUNITY INVOLVEMENT. THE

PROJECT WAS LAUNCHED IN JULY 2008. WE CURRENTLY HAVE ONE GHANAIAN STAFF

PERSON WORKING ON THE GROUND IN ACCRA, GHANA. HE WORKS OUT OF AN OFFICE

PROVIDED BY THE NCHS, AS PROJECT DIRECTOR.

SOUTH AFRICA: IHI BEGAN ITS WORK IN SOUTH AFRICA IN 2004, WITH A FOCUS ON

IMPROVING TREATMENT OF HIV/AIDS. TODAY WE ARE WORKING WITH PARTNER

ORGANIZATIONS ACROSS SEVERAL DISTRICTS TO IMPROVE HIV/TB CARE AND

TREATMENT, AND ON THE ELIMINATION OF MOTHER TO CHILD TRANSMISSION OF HIV

(EMTCT). ADDITIONALLY WE OFFER COURSES IN QUALITY IMPROVEMENT AND

LEADERSHIP. WE CURRENTLY HAVE STAFF AND FACULTY/CONSULTANTS WORKING ON

THE GROUND IN THE COUNTRY. THEY WORK OUT OF OFFICES PROVIDED BY OUR

PARTNERS OR THEIR HOMES.

75649T 1592 V 15-7.18 2352032 PAGE 38



Part V



5E1502 1.000


ETHIOPIA: IHI WAS AWARDED A 15-MONTH PLANNING GRANT TO LAY THE FOUNDATION

FOR A FAST-MOVING LARGE-SCALE QUALITY IMPROVEMENT (QI) INITIATIVE WITH

THE ULTIMATE AIM OF ACCELERATING THE FEDERAL MINISTRY OF HEALTH'S (MOH)

EFFORTS TO IMPROVE MATERNAL AND NEONATAL HEALTH (MNH) OUTCOMES IN

ETHIOPIA. DURING THIS PLANNING PHASE IHI AIMS TO DEVELOP A DEEP

UNDERSTANDING OF THE ETHIOPIAN HEALTH SYSTEM AND ITS KEY SUPPORT SYSTEMS,

BUILD CAPACITY AND EXPERIENCE FOR THE USE OF QI METHODS, AND CO-DESIGN

WITH THE MOH A PHASED SCALE-UP OF A QI-BASED INTERVENTION TO STRENGTHEN

EXISTING ETHIOPIAN EFFORTS TO SIGNIFICANTLY REDUCE MATERNAL AND NEONATAL

MORTALITY, PARTICULARLY IN RURAL AREAS.

MONITOR FUNDS OUTSIDE THE US

PART I, LINE 2

ALL GRANTS PROVIDED ARE PASS-THROUGH GRANTS. OUR PROCEDURES FOR

MONITORING ARE DICTATED BOTH BY THE REQUIREMENTS OF THE ORIGINAL FUNDER,

IHI INTERNAL POLICIES AND PROCEDURES, AND THE RESULTS OF OUR EVALUATION

PRIOR TO GRANTING THE ACTUAL AWARD. THERE ARE REQUIREMENTS FOR REGULAR

PROGRAM, PROGRAM EVALUATION AND ASSESSMENT AND FINANCIAL REPORTING, NO

LESS REGULARLY THAN BI-ANNUALLY AND AS FREQUENTLY AS MONTHLY. FINANCIAL

REPORTING REQUIREMENTS MUST BE ABIDED BY BEFORE WIRES ARE PROCESSED TO

THE SUB-GRANTEE. ALL FINANCIAL REPORTS MUST BE ACCOMPANIED BY SUPPORTING

GENERAL LEDGER DETAIL AND DEPENDING ON THE GRANT, STATEMENT OF CASH

FLOWS, BALANCE SHEET, BANK STATEMENTS, ETC. ANNUAL AUDITS AND MANAGEMENT

LETTERS ARE COLLECTED FROM MOST SUB-GRANTEES (IF AVAILABLE). ALL

75649T 1592 V 15-7.18 2352032 PAGE 39



Part V



5E1502 1.000


SUB-GRANTEES, RECEIVING MATERIAL AWARDS, HAVE IHI STAFF HELPING ON THE

GROUND OR ARE VISITED ON A REGULAR BASIS FOR PROGRAM MONITORING AND OFTEN

ONCE OR TWICE PER YEAR FOR FINANCIAL MONITORING/INTERNAL AUDITING.

DEPENDING ON THE SUB-GRANTEE, OUR FINANCIAL MONITORING MAY CONSIST OF A

FINANCE STAFF VISITING THE SITE AND PERFORMING INTERNAL AUDIT PROCEDURES,

PROGRAM STAFF COLLECTING DOCUMENTATION/PERFORMING TEST WORK AND REPORTING

BACK TO FINANCE, OR SUB-GRANTEE STAFF SENDING DOCUMENTATION TO OUR

FINANCE AND INTERNAL AUDITOR FOR REVIEW.

PROGRAM SERVICE

PART I, LINE 3

EUROPE: IHI WORKS IN EUROPE ON IMPROVING HEALTHCARE DELIVERY AND SAFETY

THROUGH A VARIETY OF CONTRACTUAL RELATIONSHIPS. IHI ALSO CO-SPONSORS THE

INTERNATIONAL FORUM ON HEALTHCARE IMPROVEMENT HELD ANNUALLY, TYPICALLY IN

A EUROPEAN LOCATION.

SUB-SAHARAN AFRICA: OUR PROGRAMS OPERATED IN MALAWI AND GHANA WORK ON

REDUCING MOTHER AND CHILD MORTALITY. IN SOUTH AFRICA, OUR PROGRAM IS

STRIVING TO IMPROVE THE TREATMENT ON HIV AND AIDS.

BRAZIL: IHI IS WORKING WITH THE INSTITUTO QUALISA DE GESTAO (IDG) TO

IMPROVE THE QUALITY AND SAFETY OF HEALTH CARE FOR THE PEOPLE OF BRAZIL.

MIDDLE EAST: IHI PROVIDES ONSITE PROFESSIONAL DEVELOPMENT TRAINING TO THE

75649T 1592 V 15-7.18 2352032 PAGE 40



Part V



5E1502 1.000


SAUDI ARABIA NATIONAL HEALTH AFFAIRS AND THE HAMAD MEDICAL CORPORATION IN

QATAR.

EAST ASIA AND THE PACIFIC: IHI WORKED IN THE EAST ASIA AND PACIFIC REGION

TO IMPROVE HEALTH AND HEALTHCARE THROUGH CONTRACTUAL RELATIONSHIPS WITH

THE SINGAPORE MINISTRY OF HEALTH AND COUNTIES MANUKAU DISTRICT HEALTH

BOARD IN NEW ZEALAND.

75649T 1592 V 15-7.18 2352032 PAGE 41

OMB No. 1545-0047SCHEDULE I(Form 990)

Grants and Other Assistance to Organizations,Governments, and Individuals in the United States À¾µ¹

Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22.

Attach to Form 990.I Open to Public Department of the TreasuryInternal Revenue Service I Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990. Inspection


General Information on Grants and Assistance Part I

1

2

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and

the selection criteria used to award the grants or assistance?

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mGrants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered “Yes” on Form990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

Part II

(a) Name and address of organizationor government

(c) IRC sectionif applicable

(d) Amount of cash

grant

(e) Amount of non-cash assistance

(g) Description of non-cash assistance

(h) Purpose of grantor assistance

(f) Method of valuation(book, FMV, appraisal,

other)

(b) EIN1

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

II

2

3

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table

Enter total number of other organizations listed in the line 1 table

m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule I (Form 990) (2015)

JSA5E1288 1.000


X

ALGOMA SCHOOL DISTRICT

1715 DIVISION ST ALGOMA, WI 54201 39-1032686 PUBLIC SCHOOL 71,000. HEALTH CARE

BERNALILLO COUNTY COMMUNITY HEALTH COUNCIL

PO BOX 8195 ALBUQUERQUE, NM 71000 47-3237659 501(C)(3) 71,000. HEALTH CARE

BOSTON MEDICAL CENTER DEPT OF PEDIATRICS

1 BOSTON MEDICAL CTR PL BOSTON, MA 02118 04-3314093 501(C)(3) 71,000. HEALTH CARE

BRAVEHEART VOLUNTEERS

PO BOX 6336 SITKA, AK 99835 73-1639840 501(C)(3) 73,000. HEALTH CARE

CATTARAUGUS COUNTY HEALTH DEPARTMENT

1 LEO MOSS DR OLEAN, NY 14760 16-6002555 MUNICIPALITY 71,000. HEALTH CARE

CENTER FOR COURAGE & RENEWAL

1402 THIRD AVE, SUITE 925 SEATTLE, WA 98101 33-1023228 501(C)(3) 60,000. HEALTH CARE

CHESHIRE MEDICAL CENTER

580 COUNT ST KEENE, NH 03431 02-0354549 501(C)(3) 19,000. HEALTH CARE

CITY OF HOPE

1500 EAST DUARTE RD DUARTE, CA 91010 95-3435919 501(C)(3) 68,115. HEALTH CARE

COMMUNITIES JOINED IN ACTIONS

55 PARK PL, 8TH FL ATLANTA, GA 30303 52-2305386 501(C)(3) 10,598. HEALTH CARE

COMMUNITY SOLUTIONS

125 MAIDEN LN, SUITE 16C NEW YORK, NY 10038 27-3523909 501(C)(3) 95,000. HEALTH CARE

DOWNTOWN WOMEN'S CENTER

442 S. SAN PEDRO ST LOS ANGELES, CA 90013 31-1597223 501(C)(3) 71,000. HEALTH CARE

EASTER SEALS, INC.

233 S. WACKER DR CHICAGO, IL 60606 36-2171729 501(C)(3) 25,000. HEALTH CARE

75649T 1592 V 15-7.18 2352032 PAGE 42







1

2





Part II



(d) Amount of cash

grant





other)

(b) EIN1

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

II

2

3





JSA5E1288 1.000


X

ETHNIC COMMUNITY-BASED ORGANIZATION

2284 EAST RENEGADE RD SANDY, UT 84093 47-1353956 501(C)(3) 71,000. HEALTH CARE

GEORGIA STATE UNIVERSITY RESEARCH FDN

PO BOX 3999 ATLANTA, GA 30302 58-1845423 501(C)(3) 115,625. HEALTH CARE

HEALTH EQUITY AND SOCIAL DETERMINANTS UNIT

1867 WEST MARKET ST AKRON, OH 44313 34-6002767 GOVERNMENT 19,000. HEALTH CARE

HENNEPIN COUNTY MEDICAL CENTER

701 PARK AVE LSB-3 MINNEAPOLIS, MN 55415 41-0845733 501(C)(3) 72,576. HEALTH CARE

INSTITUTE FOR PEOPLE, PLACE AND POSSIBILITY

501 FAY ST, SUITE 206 COLUMBIA, MO 65201 27-3888796 501(C)(3) 166,964. HEALTH CARE

LARAMIE COUNTY COMMUNITY PARTNERSHIP

PO BOX 1143 CHEYENNE, WY 82003 15-5671574 71,000. HEALTH CARE

MAINE GENERAL MEDICAL CENTER

35 MEDICAL CENTER PKWY AUGUSTA, ME 04330 04-3369653 501(C)(3) 71,000. HEALTH CARE

MARICOPA COUNTY

301 W JEFFERSON STE 960 PHOENIX, AZ 85003 86-6000472 GOVERNMENT 71,000. HEALTH CARE

THE METROHEALTH FOUNDATION, INC.

2500 METROHEALTH DR CLEVELAND, OH 44109 34-6607695 501(C)(3) 69,425. HEALTH CARE

NETWORK FOR REGIONAL HEALTHCARE IMPROVEMENT

217 COMMERCIAL ST PORTLAND, ME 04101 45-1754340 501(C)(3) 85,315. HEALTH CARE

NORTH COLORADO HEALTH ALLIANCE

2930 11TH AVE EVANS, CO 80620 65-1189617 501(C)(3) 71,000. HEALTH CARE

OKLAHOMA CITY COUNTY HEALTH DEPARTMENT

2600 NE 63 OKLAHOMA CITY, OK 73111 73-1323004 GOVERNMENT 19,000. HEALTH CARE

75649T 1592 V 15-7.18 2352032 PAGE 43







1

2





Part II



(d) Amount of cash

grant





other)

(b) EIN1

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

II

2

3





JSA5E1288 1.000


X

PROVISO LEYDEN COUNCIL FOR COMMUNITY ACTION

411 W. MADISON ST MAYWOOD, IL 60153 36-2728599 501(C)(3) 71,000. HEALTH CARE

PUBLIC HEALTH INSTITUTE

555 12TH ST, 10TH FL OAKLAND, CA 94607 94-1646278 501(C)(3) 25,000. HEALTH CARE

PUEBLO TRIPLE AIM CORPORATION

503 N. MAIN ST, SUITE 221 PUEBLO, CA 81003 46-1846770 501(C)(3) 71,000. HEALTH CARE

TENDERLOIN HEALTH IMPROVEMENT PARTNERSHIP

900 HYDE ST SAN FRANCISCO, CA 94109 94-2597514 501(C)(3) 71,000. HEALTH CARE

UNIVERSITY OF NORTH CAROLINA CHAPEL HILL

PO BOX 402420 ATLANTA, GA 30384 56-6001393 UNIVERSITY 444,435. HEALTH CARE

W.A. FOOTE MEMORIAL HOSPITAL

205 N. EAST AVE JACKSON, MI 49201 38-2027689 501(C)(3) 71,000. HEALTH CARE

WILLIAMSON HEALTH AND WELLNESS CENTER, INC.

184 EAST 2ND AVE WILLIAMSON, WV 25661 45-2849701 501(C)(3) 19,000. HEALTH CARE

YOUNG MENS' CHRISTIAN ASSOC OF THE TRIANGLE

801 CORPORATE CENTER DR RALEIGH, NC 27607 56-0591307 501(C)(3) 71,000. HEALTH CARE

31.1.

75649T 1592 V 15-7.18 2352032 PAGE 44

Schedule I (Form 990) (2015) Page 2

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.Part III can be duplicated if additional space is needed.

Part III

(f) Description of non-cash assistance(a) Type of grant or assistance (e) Method of valuation (book,

FMV, appraisal, other)

(b) Number ofrecipients

(d) Amount of

non-cash assistance

(c) Amount of cash grant

1

2

3

4

5

6

7

Supplemental Information. Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additionalinformation.

Part IV

Schedule I (Form 990) (2015)

JSA

5E1504 1.000


PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS

PART I, LINE 2

ALL GRANTS PROVIDED TO FOREIGN ENTITIES ARE PASS-THROUGH GRANTS. OUR

PROCEDURES FOR MONITORING ARE DICTATED BOTH BY THE REQUIREMENTS OF THE

ORIGINAL FUNDER, IHI INTERNAL POLICIES AND PROCEDURES, AND THE RESULTS OF

OUR EVALUATION PRIOR TO GRANTING THE ACTUAL AWARD. THERE ARE MONITORING

REQUIREMENTS FOR REGULAR PROGRAM, PROGRAM EVALUATION AND ASSESSMENT, AND

FINANCIAL REPORTING, NO LESS REGULARLY THAN BI-ANNUALLY AND AS FREQUENTLY

AS MONTHLY. FINANCIAL REPORTING REQUIREMENTS MUST BE ABIDED BY BEFORE

WIRES ARE PROCESSED TO THE SUB-GRANTEE. ALL FINANCIAL REPORTS MUST BE

75649T 1592 V 15-7.18 2352032 PAGE 45



Part III




(d) Amount of

non-cash assistance


1

2

3

4

5

6

7


Part IV


JSA

5E1504 1.000


ACCOMPANIED BY SUPPORTING GENERAL LEDGER DETAIL AND DEPENDING ON THE

GRANT, STATEMENT OF CASH FLOWS, BALANCE SHEET, BANK STATEMENTS, ETC.

ANNUAL AUDITS AND MANAGEMENT LETTERS ARE COLLECTED FROM MOST SUB-GRANTEES

(IF AVAILABLE). ALL SUB-GRANTEES, RECEIVING MATERIAL AWARDS, HAVE IHI

STAFF HELPING ON THE GROUND OR ARE VISITED ON A REGULAR BASIS FOR PROGRAM

MONITORING AND OFTEN ONCE OR TWICE PER YEAR FOR FINANCIAL

MONITORING/INTERNAL AUDITING. DEPENDING ON THE SUB-GRANTEE, OUR FINANCIAL

MONITORING MAY CONSIST OF A FINANCE STAFF VISITING THE SITE AND

PERFORMING INTERNAL AUDIT PROCEDURES, PROGRAM STAFF COLLECTING

DOCUMENTATION/PERFORMING TEST WORK AND REPORTING BACK TO FINANCE, OR

75649T 1592 V 15-7.18 2352032 PAGE 46



Part III




(d) Amount of

non-cash assistance


1

2

3

4

5

6

7


Part IV


JSA

5E1504 1.000


SUB-GRANTEE STAFF SENDING A DOCUMENTATION TO OUR FINANCE AND INTERNAL

AUDITOR FOR REVIEW.

75649T 1592 V 15-7.18 2352032 PAGE 47

Compensation Information OMB No. 1545-0047SCHEDULE J(Form 990) For certain Officers, Directors, Trustees, Key Employees, and Highest

Compensated EmployeesComplete if the organization answered "Yes" on Form 990, Part IV, line 23.I À¾µ¹

Attach to Form 990. I Open to Public Inspection

Department of the Treasury

Internal Revenue Service Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.IName of the organization Employer identification number

Questions Regarding Compensation Part I Yes No

1a Check the appropriate box(es) if the organization provided any of the following to or for a person listed on Form

990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel

Travel for companions

Tax indemnification and gross-up payments

Discretionary spending account

Housing allowance or residence for personal use

Payments for business use of personal residence

Health or social club dues or initiation fees

Personal services (e.g., maid, chauffeur, chef)

b If any of the boxes on line 1a are checked, did the organization follow a written policy regarding paymentor reimbursement or provision of all of the expenses described above? If "No," complete Part III toexplain 1b

2

4a

4b

4c

5a

5b

6a

6b

7

8

9

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all

directors, trustees, and officers, including the CEO/Executive Director, regarding the items checked in line

1a? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m3 Indicate which, if any, of the following the filing organization used to establish the compensation of the

organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by arelated organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee

Independent compensation consultant

Form 990 of other organizations

Written employment contract

Compensation survey or study

Approval by the board or compensation committee

4 During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filingorganization or a related organization:

a

b

c

a

b

a

b

Receive a severance payment or change-of-control payment?

Participate in, or receive payment from, a supplemental nonqualified retirement plan?

Participate in, or receive payment from, an equity-based compensation arrangement?

m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m mm m m m m m m m m m m m m m m

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only section 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5–9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any

compensation contingent on the revenues of:

The organization?

Any related organization?

If "Yes" to line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any

compensation contingent on the net earnings of:

The organization?

Any related organization?

If "Yes" on line 6a or 6b, describe in Part III.

5

6

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

7 For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixedpayments not described on lines 5 and 6? If "Yes," describe in Part III m m m m m m m m m m m m m m m m m m m m m m m m

8 Were any amounts reported on Form 990, Part VII, paid or accrued pursuant to a contract that was subject

to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe

in Part III m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m9 If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in

Regulations section 53.4958-6(c)? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mFor Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule J (Form 990) 2015

JSA

5E1290 1.000


X X

X

X

XX X

X

XX

X

XX

XX

X

X

75649T 1592 V 15-7.18 2352032 PAGE 48

Schedule J (Form 990) 2015 Page 2

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed. Part II

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in theinstructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note: The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for thatindividual.

(B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and

other deferred

compensation

(D) Nontaxable

benefits

(E) Total of columns

(B)(i)-(D)(F) Compensation

in column (B) reported

as deferred on priorForm 990

(A) Name and Title (i) Base

compensation

(ii) Bonus & incentive

compensation

(iii) Other

reportable

compensation

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

Schedule J (Form 990) 2015

JSA5E1291 1.000


MAUREEN BISOGNANO 512,606. 208,000. 89,200. 4,350. 16,177. 830,333. 0.PRESIDENT/CEO UNTIL 1/1/2016 0. 0. 0. 0. 0. 0. 0.DONALD GOLDMANN, MD 336,137. 25,000. 64,352. 4,350. 16,339. 446,178. 0.CHIEF SCI. & MEDICAL OFFICER 0. 0. 0. 0. 0. 0. 0.JOANNE HEALY 238,114. 25,000. 52,439. 4,350. 15,868. 335,771. 0.SENIOR VICE PRESIDENT 0. 0. 0. 0. 0. 0. 0.AMY HOSFORD-SWAN 243,460. 25,000. 47,093. 3,450. 2,786. 321,789. 0.CHIEF FINANCIAL OFFICER 0. 0. 0. 0. 0. 0. 0.CAROL BEASLEY 235,972. 25,000. 49,357. 4,350. 6,841. 321,520. 0.SENIOR VICE PRESIDENT 0. 0. 0. 0. 0. 0. 0.PAUL HAMNETT 162,383. 25,000. 37,906. 4,350. 17,701. 247,340. 0.VICE PRESIDENT OF ENGINEERING 0. 0. 0. 0. 0. 0. 0.CAROL HARADEN 196,548. 25,000. 44,385. 4,200. 7,773. 277,906. 0.VICE PRESIDENT 0. 0. 0. 0. 0. 0. 0.ANDREA KABCENELL 177,613. 25,000. 46,883. 4,338. 16,889. 270,723. 0.VICE PRESIDENT 0. 0. 0. 0. 0. 0. 0.ROBERT LLOYD 226,289. 10,000. 6,750. 1,763. 16,900. 261,702. 0.EXEC DIR PERFORMANCE IMPROV 0. 0. 0. 0. 0. 0. 0.PATRICIA RUTHERFORD 191,695. 25,000. 29,827. 4,200. 7,012. 257,734. 0.VICE PRESIDENT 0. 0. 0. 0. 0. 0. 0.PIERRE BARKER 311,462. 25,000. 191,389. 4,350. 17,528. 549,729. 0.SENIOR VICE PRESIDENT 0. 0. 0. 0. 0. 0. 0.KATHARINE LUTHER 207,655. 25,000. 24,000. 20,442. 15,704. 292,801. 0.VICE PRESIDENT 0. 0. 0. 0. 0. 0. 0.KENNETH TEBBETTS 152,273. 25,000. 104,981. 4,350. 8,316. 294,920. 0.VICE PRESIDENT HUMAN RESOURCES 0. 0. 0. 0. 0. 0. 0.TRISSA TORRES 281,684. 25,000. 24,000. 26,680. 16,689. 374,053. 0.SENIOR VICE PRESIDENT 0. 0. 0. 0. 0. 0. 0.DEREK FEELEY -PRES FROM 420,480. 102,506. 0. 33,294. 16,912. 573,192. 0.EXEC VP/COO UNTIL 12/31/15 0. 0. 0. 0. 0. 0. 0.NNEKA MOBISSON-ETUK 257,739. 10,000. 57,413. 3,450. 20,788. 349,390. 0.EXEC. DIRECTOR OF AFRICAN OPS. 0. 0. 0. 0. 0. 0. 0.

75649T 1592 V 15-7.18 2352032 PAGE 49


Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed. Part II

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in theinstructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note: The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for thatindividual.

(B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and

other deferred

compensation

(D) Nontaxable

benefits

(E) Total of columns

(B)(i)-(D)(F) Compensation

in column (B) reported

as deferred on priorForm 990

(A) Name and Title (i) Base

compensation

(ii) Bonus & incentive

compensation

(iii) Other

reportable

compensation

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

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JSA5E1291 1.000


DONALD M. BERWICK, MD 250,750. 0. 0. 0. 0. 250,750. 0.FORMER PRESIDENT/CEO, FACULTY 0. 0. 0. 0. 0. 0. 0.PEDRO DELGADO 203,236. 10,000. 20,481. 3,450. 2,436. 239,603. 0.EXECUTIVE DIRECTOR, BUS. DEV. 0. 0. 0. 0. 0. 0. 0.KEDAR MATE 280,900. 25,000. 18,000. 25,780. 17,424. 367,104. 0.SENIOR VICE PRESIDENT 0. 0. 0. 0. 0. 0. 0.AZHAR ALI 179,273. 25,000. 0. 0. 5,790. 210,063. 0.EXECUTIVE DIRECTOR 0. 0. 0. 0. 0. 0. 0.

75649T 1592 V 15-7.18 2352032 PAGE 50


Supplemental Information Part III

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.Also complete this part for any additional information.


JSA

5E1505 1.000


PART I, LINE 4B

NONQUALIFIED RETIREMENT PLAN COMPENSATION PAID THROUGH AN IRC SECTION 457

PLAN HAS BEEN DISCLOSED ON SCHEDULE J FOR EACH REPORTED INDIVIDUAL.

MAUREEN BISOGNANO - $ 65,200

CAROL BEASLEY - $ 26,241

PAUL HAMNETT - $ 13,906

DONALD GOLDMANN - $ 40,352

AMY HOSFORD-SWAN - $ 29,093

JOANNE HEALY - $ 28,439

CAROL HARADEN - $ 21,385

PATRICIA RUTHERFORD - $ 6,828

ANDREA KABCENELL - $ 22,963

KENNETH TEBBETS - $ 80,983

PIERRE BARKER - $167,389

THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN

UNDER IRC SECTION 457(F) AND HAVE NOT RECEIVED A TAXABLE DISTRIBUTION

UNTIL VESTED. THE 2015 DEFERRED AMOUNTS ARE REPORTED AS DEFERRED

COMPENSATION AND REPORTED IN PART II, COLUMN (C).

75649T 1592 V 15-7.18 2352032 PAGE 51





JSA

5E1505 1.000


DEREK FEELEY

KATHARINE LUTHER

KEDAR MATE

TRISSA TORRES

PART II, COLUMN F

MANAGEMENT TEAM BENEFITS

THE INSTITUTE PROVIDES CERTAIN EXECUTIVES BENEFITS UNDER ITS MANAGEMENT

TEAM FLEXIBLE BENEFIT PLAN. COVERED EXECUTIVES ARE PROVIDED WITH A

FLEXIBLE BENEFIT ALLOWANCE WHICH CAN BE USED TO SELECT CERTAIN BENEFITS,

INCLUDING A CAPITAL ACCUMULATION ACCOUNT. THE CAPITAL ACCUMULATION

ACCOUNTS ARE MAINTAINED BY THE INSTITUTE AND THE EXECUTIVES ARE NOT

VESTED IN THEIR ACCOUNTS UNTIL THEY REACH 5 YEARS OF SERVICE. THE

EXECUTIVES ARE UNSECURED CREDITORS OF THE INSTITUTE FOR THE AMOUNT OF

THEIR CAPITAL ACCUMULATION ACCOUNTS. THIS BENEFIT PLAN IS EXAMINED IN

THE COURSE OF OUR COMPENSATION REVIEW (DICTATED BY OUR COMPENSATION

POLICY DESCRIBED IN SCHEDULE O), AND CONSIDERED FAIR, REASONABLE AND

WITHIN THE SAFE HARBOR GUIDELINES FOR EXECUTIVE COMPENSATION BY THE

ORGANIZATION. IN ADDITION, OUR COMPENSATION STRUCTURE IS REVIEWED BY AN

75649T 1592 V 15-7.18 2352032 PAGE 52





JSA

5E1505 1.000


EXTERNAL COMPENSATION ADVISOR. IHI STRONGLY BELIEVES THAT THE

ORGANIZATION NEEDS TO MAINTAIN ADEQUATE BENEFITS NECESSARY TO RETAIN THE

TALENTED TEAM REQUIRED TO ACCOMPLISH OUR MISSION OF IMPROVING HEALTHCARE

WORLDWIDE.

PART I, LINE 1

FIRST CLASS TRAVEL

IHI'S TRAVEL POLICY REQUIRES THAT EMPLOYEES PERSONALLY PAY FOR ANY

UPGRADE TO FIRST CLASS. ANY PURCHASE OF FIRST CLASS TICKETS WERE

EXCEPTIONS DUE TO SPECIAL NEEDS AND APPROVED BY IHI MANAGEMENT. DURING

THIS TIME IHI PAID FOR A SMALL AMOUNT (LESS THAN 20) OF FIRST CLASS

TRAVEL TICKETS WHEN, FOR EXAMPLE, STAFF OR FACULTY TRAVELED AT THE

REQUEST OF IHI, EXCEPTIONALLY LONG DISTANCES, IN A SHORT TIMELINE AND

WERE EXPECTED TO BEGIN WORKING DIRECTLY UPON ARRIVAL; TRAVELED WITH AN

INJURY; AND OTHER EXTRAORDINARY CIRCUMSTANCES.

HOUSING ALLOWANCE

THE INSTITUTE PROVIDES HOUSING ALLOWANCES TO NNEKA MOBISSON-ETUK AND

PEDRO DELGADO. THESE AMOUNTS ARE INCLUDED IN TAXABLE INCOME AND REPORTED

75649T 1592 V 15-7.18 2352032 PAGE 53





JSA

5E1505 1.000


ON PART II COLUMN (B)(III).

PART I, LINE 7

NON-FIXED PAYMENTS

THE PRESIDENT/CEO AND EXECUTIVE VP/COO ARE ELIGIBLE FOR AN ANNUAL

NON-FIXED BONUS BASED ON A PERCENTAGE OF GROSS SALARY SUBJECT TO

BENCHMARKING RESEARCH OF THE BUSINESS SECTOR BY EXTERNAL CONSULTANTS AND

SUBJECT TO BOARD APPROVAL EACH YEAR.

PART II

COMPENSATION OF FORMER DIRECTOR/OFFICER

DR. DONALD M. BERWICK, MD IS THE ORGANIZATION'S FORMER PRESIDENT AND CEO

AND IS CURRENTLY PAID $250,750 IN HIS CAPACITY AS A FACULTY MEMBER.

75649T 1592 V 15-7.18 2352032 PAGE 54

Supplemental Information to Form 990 or 990-EZOMB No. 1545-0047SCHEDULE O

(Form 990 or 990-EZ)

Complete to provide information for responses to specific questions onForm 990 or 990-EZ or to provide any additional information.

Attach to Form 990 or 990-EZ.

À¾µ¹ Open to Public Inspection

Department of the TreasuryInternal Revenue Service IName of the organization Employer identification number

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule O (Form 990 or 990-EZ) (2015)

JSA5E1227 1.000


ORGANIZATION'S MISSION

FORM 990, PART III, LINE 1

IHI IS A LEADING INNOVATOR IN HEALTH AND HEALTH CARE IMPROVEMENT

WORLDWIDE. FOR MORE THAN 25 YEARS, WE HAVE PARTNERED WITH AN EVER-GROWING

COMMUNITY OF VISIONARIES, LEADERS, AND FRONT-LINE PRACTITIONERS AROUND

THE GLOBE TO SPARK BOLD, INVENTIVE WAYS TO IMPROVE THE HEALTH OF

INDIVIDUALS AND POPULATIONS. TOGETHER, WE BUILD THE WILL FOR CHANGE, SEEK

OUT INNOVATIVE MODELS OF CARE, AND SPREAD PROVEN BEST PRACTICES. TO

ADVANCE OUR MISSION, IHI IS DEDICATED TO: OPTIMIZING HEALTH CARE DELIVERY

SYSTEMS, DRIVING THE TRIPLE AIM FOR POPULATIONS, REALIZING PERSON- AND

FAMILY-CENTERED CARE, AND BUILDING IMPROVEMENT CAPABILITY.

WHEN IT COMES TO RAISING THE QUALITY OF HEALTH FOR ALL, IHI SEES

BOUNDLESS POSSIBILITIES, AND WHILE WE SEE THE WALLS IN FRONT OF US, WE

WILL NOT REST UNTIL WE REACH THE OTHER SIDE.

IHI MOBILIZES TEAMS, ORGANIZATIONS, AND INCREASINGLY NATIONS, THROUGH ITS

STAFF OF MORE THAN 100 PEOPLE AND PARTNERSHIPS WITH HUNDREDS OF FACULTY

AROUND THE WORLD. IHI PROVIDES IMPORTANT BENEFITS TO THE COMMUNITY WITH

ACTIVITIES. FOR EXAMPLE:

- IHI CREATED THE IHI OPEN SCHOOL AND CONVENED 80,000 STUDENTS TO ENABLE

THE PASSION AND GROWTH OF THE NEXT GENERATION OF IMPROVERS.

75649T 1592 V 15-7.18 2352032 PAGE 55

Schedule O (Form 990 or 990-EZ) 2015 Page 2


Schedule O (Form 990 or 990-EZ) 2015JSA5E1228 1.000


- IHI BUILDS WILL FOR IMPROVEMENT BY BRINGING CLARITY, FOCUS, AND SIMPLE

SOLUTIONS TO THE TABLE THROUGH IHI INITIATIVES LIKE OUR BREAKTHROUGH

SERIES COLLABORATIVES, 100,000 LIVES CAMPAIGN, AND THE IHI TRIPLE AIM.

- IHI LAUNCHED THE IHI NATIONAL FORUM ON QUALITY IMPROVEMENT IN HEALTH

CARE AND THE INTERNATIONAL FORUM TO BRING THOUSANDS OF PEOPLE TOGETHER TO

TELL STORIES AND HELP SPARK INNOVATIVE IDEAS AND CHANGES IN HEALTH CARE

IMPROVEMENT.

- IHI ARCHITECTED THE UNPRECEDENTED 100,000 LIVES AND 5 MILLION LIVES

CAMPAIGNS, WHICH SPURRED HOSPITALS ACROSS THE UNITED STATES TO JOIN US IN

MAKING BREAKTHROUGH COMMITMENTS TO QUALITY AND PATIENT SAFETY.

- IHI BRINGS THE SCIENCE OF IMPROVEMENT AND LEARNING TOGETHER TO INNOVATE

NEW WAYS TO LEARN.

- AS HEALTH CARE QUALITY IMPROVEMENT MOVEMENT PIONEERS, IHI THINKS

DIFFERENTLY. FOR EXAMPLE, WE ARE COMMITTED TO ILLUMINATING POWERFUL

MODELS FOR IMPROVEMENT FROM CORNERS OF THE WORLD THAT ARE OFTEN

OVERLOOKED.

- IHI DEVELOPED THE TRIPLE AIM AND IS NOW WORKING WITH OUR PARTNERS TO

MOBILIZE SYSTEMS, COMMUNITIES, AND COUNTRIES TO ACHIEVE TRIPLE AIM

RESULTS THAT RETURN SAVINGS TO COMMUNITIES.

75649T 1592 V 15-7.18 2352032 PAGE 56





- IN SCOTLAND, THE IHI COMMUNITY IS ENGAGING HOSPITALS ACROSS THE COUNTRY

TO BUILD IMPROVEMENT SKILLS, MEASUREMENT METHODS, AND SCIENTIFIC

APPROACHES FOR BETTER CARE. THE RESULTS ARE INSPIRING.

- IHI LAUNCHED GROUNDBREAKING IMPROVEMENT PROGRAMS IN SOUTH AFRICA AND

GHANA THAT HAVE CONTRIBUTED TO A REDUCTION IN MATERNAL AND NEONATAL

MORTALITY, THE PREVENTION OF MOTHER-TO-CHILD TRANSMISSION (PMTCT) OF

HIV/AIDS, AND INCREASED ACCESS TO TREATMENT AND TESTING OF HIV/AIDS.

- UNDER THE STAAR INITIATIVE, IHI IS WORKING WITH THE STATES OF

MASSACHUSETTS, MICHIGAN, OREGON, OHIO, AND WASHINGTON TO REDUCE AVOIDABLE

REHOSPITALIZATIONS.

- IHI'S WEB SITE, WWW.IHI.ORG, IS A FREE GLOBAL RESOURCE FOR HEALTH CARE

IMPROVEMENT KNOWLEDGE.

- IHI'S FREE PUBLICATIONS, SUCH AS WHITE PAPERS AND HOW-TO-GUIDES,

DOCUMENT AND DISSEMINATE THE ORGANIZATION'S INNOVATION WORK QUICKLY AND

WIDELY.

PROGRAM SERVICE ACCOMPLISHMENTS

FORM 990, PART III, LINES 4A-D

LINE 4D:

EXPENSE = $4,356,882

REVENUE = $7,130,934

NATIONAL FORUM: IHI'S NATIONAL FORUM ON QUALITY IMPROVEMENT IN HEALTH

75649T 1592 V 15-7.18 2352032 PAGE 57





CARE, HELD EACH DECEMBER, IS A MAJOR U.S. CONFERENCE ON IMPROVEMENT IN

HEALTH CARE THAT DRAWS NEARLY 6,000 PARTICIPANTS FROM AROUND THE WORLD

WHO ATTEND HUNDREDS OF WORKSHOPS, PLENARY SESSIONS, AND SPECIAL INTEREST

MEETINGS. THOUSANDS MORE JOIN THE CONFERENCE VIA SATELLITE BROADCAST.

EXPENSE = $1,763,402

INNOVATION: AT THE CENTER OF OUR WORK IS THE CREATION AND TESTING OF NEW

IDEAS - NOVEL CONCEPTS FOR IMPROVING PATIENT CARE. HERE, WE WORK

INTENSELY WITH CUTTING-EDGE ORGANIZATIONS TO TEST AND PROTOTYPE UNIQUE

MODELS AND NEW SOLUTIONS TO OLD PROBLEMS. THIS IS OUR RESEARCH AND

DEVELOPMENT FUNCTION, THE INNOVATION ENGINE THAT FUELS ALL OF OUR WORK.

FORM 990 REVIEW PROCESS

FORM 990, PART VI, SECTION A, LINE 11B

THE MAJORITY OF SUPPORT SCHEDULES FOR THE FORM 990 ARE PREPARED DURING

THE ANNUAL AUDIT PREPARATION PROCESS IN THE MAY-JUNE TIMEFRAME. THE

REMAINING ITEMS ARE COMPLETED BY THE END OF OCTOBER OF EACH FISCAL YEAR.

THE FORM 990 IS DUE FIVE MONTHS AFTER THE CLOSE OF THE FISCAL YEAR, WHICH

FOR IHI IS SEPTEMBER 15TH (WITH AN APRIL 30TH FISCAL YEAR END). ALL 990

EXTENSIONS ARE FILED BY KPMG (OR OUR CURRENT OUTSIDE INDEPENDENT AUDIT

FIRM) AND A COPY IS MAINTAINED BY IHI. TWO EXTENSIONS ARE ALLOWED AND

THEY EACH PROVIDE FOR AN ADDITIONAL THREE MONTH EXTENSION. THUS, THE

MAXIMUM EXTENSION PERIOD ALLOWED ANNUALLY IS SIX MONTHS FROM THE ORIGINAL

DUE DATE. THE FILING DATES ARE AS FOLLOWS: SEPTEMBER 15TH; IF EXTENSION

IS FILED BY 9/15 THEN THE NEXT FILING DATE IS DECEMBER 15TH. IF THE

SECOND EXTENSION (AND LAST POSSIBLE EXTENSION) IS FILED BY 12/15, THEN

75649T 1592 V 15-7.18 2352032 PAGE 58





THE FINAL FILING DATE IS MARCH 15TH. THE MAJORITY OF SCHEDULES ARE

PREPARED BY THE SENIOR STAFF ACCOUNTANT AND REVIEWED BY THE CONTROLLER.

THE CONTROLLER PREPARES THE FINANCIAL STATEMENT RECONCILIATION TO THE

FORM 990 FINANCIAL SECTION OF THE FORM. THIS IS REVIEWED BY THE CFO.

UPDATES TO POLICIES APPLICABLE TO THE FORM 990 ARE PERFORMED THROUGHOUT

THE YEAR AND REVIEWED BY EITHER THE CFO OR INTERNAL AUDITOR (DEPENDING ON

THE PERSON WHO AUTHORS THE EDIT). CERTAIN POLICY UPDATES ARE REVIEWED BY

THE STRATEGY TEAM OR THE AUDIT COMMITTEE FOR THEIR APPROVAL. AFTER THE

REVIEW PROCESS, ALL SUPPORTING DOCUMENTATION AND WORK PAPERS ARE SENT TO

KPMG WHO PRODUCES THE DRAFT FORM 990. THE DRAFT FORM 990 IS REVIEWED AND

TIED BACK TO SUPPORTING DOCUMENTATION AND WORK PAPERS (INCLUDING THE

AUDITED FINANCIAL STATEMENTS AND TRIAL BALANCE) BY THE CONTROLLER. ANY

ADJUSTMENTS ARE DISCUSSED AND THEN PROCESSED (AS NEEDED) WITH KPMG. THE

NEXT DRAFT IS REVIEWED BY THE CONTROLLER AND CFO. ANY ADJUSTMENTS ARE

DISCUSSED AND THEN PROCESSED (AS NEEDED) WITH KPMG. THE FINAL DRAFT IS

ALSO REVIEWED BY THE INTERNAL AUDITOR.

AFTER THE DRAFT IS READY TO BE REVIEWED, IT IS SENT TO THE AUDIT

COMMITTEE BEFORE THE LATE NOVEMBER/DECEMBER MEETING. AFTER ALL QUESTIONS

AND ADJUSTMENTS (IF ANY) ARE RESOLVED, THE AUDIT COMMITTEE APPROVES THE

FORM 990 TO BE PRESENTED TO THE FULL BOARD OF DIRECTORS. THE CFO AND

AUDIT COMMITTEE CHAIR REVIEW THE FORM 990 WITH THE ENTIRE BOARD AND

REQUEST BOARD APPROVAL. THE FULL BOARD MUST VOTE TO APPROVE THE FORM 990

BEFORE IT IS FILED BY KPMG WITH THE IRS.

75649T 1592 V 15-7.18 2352032 PAGE 59





CONFLICT OF INTEREST

FORM 990, PART VI, SECTION B, LINE 12

AS NOTED IN OUR STAFF GUIDEBOOK, THIS CONFLICT OF INTEREST POLICY IS

DESIGNED TO HELP DIRECTORS, OFFICERS, AND SENIOR-LEVEL EMPLOYEES OF IHI

IDENTIFY SITUATIONS THAT PRESENT POTENTIAL CONFLICTS OF INTEREST, AND TO

PROVIDE IHI WITH A PROCEDURE FOR RESOLVING THOSE CONFLICTS.

I. DEFINITIONS

A. A "CONFLICT OF INTEREST" IS ANY SITUATION WHERE:

I. YOUR PERSONAL INTERESTS, OR

II. THE PERSONAL INTERESTS OF A CLOSE FRIEND, FAMILY MEMBER, BUSINESS

ASSOCIATE, PERSON TO WHOM YOU OWE AN OBLIGATION, OR CORPORATION,

PARTNERSHIP OR OTHER ORGANIZATION IN WHICH YOU HOLD A SIGNIFICANT

INTEREST, COULD REASONABLY BE EXPECTED TO OR DOES INFLUENCE YOUR

DECISIONS OR IMPAIR YOUR ABILITY TO:

1. ACT IN IHI'S BEST INTERESTS, OR

2. REPRESENT IHI FAIRLY, IMPARTIALLY, AND WITHOUT BIAS.

B. AN "INDIRECT BENEFIT" IS:

I. A BENEFIT DERIVED BY A CLOSE FRIEND, FAMILY MEMBER, BUSINESS

ASSOCIATE, OR A CORPORATION, PARTNERSHIP, OR OTHER ORGANIZATION IN WHICH

YOU HOLD A SIGNIFICANT INTEREST, OR

II. A BENEFIT THAT ADVANCES OR PROTECTS YOUR INTERESTS ALTHOUGH IT MAY

NOT BE MEASURABLE IN MONEY.

C. A "CONFLICTING RELATIONSHIP" IS A CONFLICT OF INTEREST OR AN INDIRECT

BENEFIT.

75649T 1592 V 15-7.18 2352032 PAGE 60





D. "PERSONAL INTERESTS" IS ONE'S STATUS AS AN EMPLOYEE (OTHER THAN AS AN

EMPLOYEE OF IHI), CONSULTANT, OFFICER, DIRECTOR, TRUSTEE, MANAGER,

SIGNIFICANT INVESTOR, OR SIGNIFICANT LENDER.

II. PROCEDURES

A. A PERSON WHO HAS A CONFLICTING RELATIONSHIP SHALL DISCLOSE SUCH

RELATIONSHIP THAT HE OR SHE MAY HAVE IN ANY MATTER AFFECTING OR INVOLVING

IHI. IF A PERSON IS IN DOUBT ABOUT WHETHER THERE IS A CONFLICTING

RELATIONSHIP, ADVICE MUST BE REQUESTED FROM THE CEO, THE CHAIRMAN OF THE

BOARD OF DIRECTORS, OR A PERSON THE BOARD DESIGNATES.

B. AFTER DISCLOSURE, A PERSON WHO HAS A CONFLICTING RELATIONSHIP SHALL

NOT PARTICIPATE IN OR BE PRESENT AT THE BOARD'S OR COMMITTEE'S DISCUSSION

OF THE MATTER GENERATING THE CONFLICTING RELATIONSHIP, EXCEPT, UPON

REQUEST, TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS.

NOTWITHSTANDING THE FOREGOING, THE BOARD (OR COMMITTEE), AFTER RECEIVING

SUCH DISCLOSURE, MAY DETERMINE BY MAJORITY VOTE OF THE BOARD MEMBERS (OR

COMMITTEE MEMBERS) WHO DO NOT HAVE A CONFLICTING RELATIONSHIP, THAT THE

PERSON MAY NEVERTHELESS PARTICIPATE IN SAID MATTER.

C. A PERSON WHO HAS A CONFLICTING RELATIONSHIP CONCERNING A PARTICULAR

MATTER AS TO WHICH THE PERSON HAS MADE DISCLOSURE, SHALL NOT BE COUNTED

IN DETERMINING THE PRESENCE OF A QUORUM FOR PURPOSES OF ANY VOTES

RELATING TO THAT MATTER.

75649T 1592 V 15-7.18 2352032 PAGE 61





D. EACH DIRECTOR, OFFICER, AND SENIOR-LEVEL EMPLOYEE OF IHI SHALL

ANNUALLY, DURING THE MONTH OF MAY (OR IF SOONER, WITHIN THIRTY (30) DAYS

OF HIS OR HER ELECTION, APPOINTMENT, HIRING, OR ASSUMPTION TO SUCH

POSITION) FILE A CONFLICTING RELATIONSHIP INFORMATION FORM. EACH

INFORMATION FORM SHALL BE FILED WITH THE CEO AND, IN THE CASE OF FORMS

FILED BY ANY DIRECTOR AND OFFICER AND THE CEO, SHALL BE AVAILABLE FOR

INSPECTION BY ANY DIRECTOR OR OFFICER. FORMS FILED BY EMPLOYEES (OTHER

THAN THE CEO) SHALL BE AVAILABLE FOR INSPECTION ONLY BY THE CEO (OR SUCH

OTHER EMPLOYEES AS THE CEO MAY DESIGNATE). EACH PERSON FILING AN

INFORMATION FORM SHALL UPDATE THE FORM IMMEDIATELY UPON BECOMING AWARE OF

ANY INACCURACY OR INCOMPLETENESS IN SUCH FORM.

WHISTLEBLOWER POLICY


AS NOTED IN OUR STAFF GUIDEBOOK A WHISTLEBLOWER AS DEFINED BY THIS POLICY

IS AN EMPLOYEE OF IHI WHO REPORTS AN ACTIVITY THAT HE/SHE CONSIDERS TO BE

ILLEGAL OR DISHONEST TO ONE OR MORE OF THE PARTIES SPECIFIED IN THIS

POLICY. THE WHISTLEBLOWER IS NOT RESPONSIBLE FOR INVESTIGATING THE

ACTIVITY OR FOR DETERMINING FAULT OR CORRECTIVE MEASURES; APPROPRIATE

MANAGEMENT OFFICIALS ARE CHARGED WITH THESE RESPONSIBILITIES. EXAMPLES OF

ILLEGAL OR DISHONEST ACTIVITIES ARE VIOLATIONS OF FEDERAL, STATE OR LOCAL

LAWS; BILLING FOR SERVICES NOT PERFORMED OR FOR GOODS NOT DELIVERED; AND

OTHER FRAUDULENT FINANCIAL REPORTING. IF AN EMPLOYEE HAS KNOWLEDGE OF OR

A CONCERN OF ILLEGAL OR DISHONEST FRAUDULENT ACTIVITY, THE EMPLOYEE CAN

CONTACT THE VICE PRESIDENT OF HUMAN RESOURCES, OR JIM ANDERSON, CHAIRMAN

OF THE AUDIT COMMITTEE (CONTACT INFORMATION IS PROVIDED IN THE EMPLOYEE

75649T 1592 V 15-7.18 2352032 PAGE 62





HANDBOOK). THE EMPLOYEE MUST EXERCISE SOUND JUDGMENT TO AVOID BASELESS

ALLEGATIONS. AN EMPLOYEE WHO INTENTIONALLY FILES A FALSE REPORT OF

WRONGDOING WILL BE SUBJECT TO DISCIPLINE UP TO AND INCLUDING

TERMINATION.

WHISTLEBLOWER PROTECTIONS ARE PROVIDED IN TWO IMPORTANT AREAS --

CONFIDENTIALITY AND AGAINST RETALIATION. INSOFAR AS POSSIBLE, THE

CONFIDENTIALITY OF THE WHISTLEBLOWER WILL BE MAINTAINED. HOWEVER,

IDENTITY MAY HAVE TO BE DISCLOSED TO CONDUCT A THOROUGH INVESTIGATION, TO

COMPLY WITH THE LAW AND TO PROVIDE ACCUSED INDIVIDUALS THEIR LEGAL RIGHTS

OF DEFENSE. IHI WILL NOT RETALIATE AGAINST A WHISTLEBLOWER. THIS

INCLUDES, BUT IS NOT LIMITED TO, PROTECTION FROM RETALIATION IN THE FORM

OF AN ADVERSE EMPLOYMENT ACTION SUCH AS TERMINATION, COMPENSATION

DECREASES, OR POOR WORK ASSIGNMENTS AND THREATS OF PHYSICAL HARM. ANY

WHISTLEBLOWER WHO BELIEVES HE/SHE IS BEING RETALIATED AGAINST MUST

CONTACT THE VICE PRESIDENT OF HUMAN RESOURCES OR JIM ANDERSON

IMMEDIATELY. THE RIGHT OF A WHISTLEBLOWER FOR PROTECTION AGAINST

RETALIATION DOES NOT INCLUDE IMMUNITY FOR ANY PERSONAL WRONGDOING THAT IS

ALLEGED AND INVESTIGATED.

RECORD RETENTION POLICY


IHI RECORD RETENTION POLICY AS NOTED IN OUR STAFF GUIDEBOOK: DISPOSING OF

IHI'S RECORDS AND FILES IS NOT DISCRETIONARY. THE GOVERNMENT REQUIRES THE

RETENTION OF CERTAIN RECORDS FOR SPECIFIC PERIODS OF TIME, PARTICULARLY

RECORDS RELATED TO: EMPLOYEES, HEALTH AND SAFETY, THE ENVIRONMENT, TAXES,

75649T 1592 V 15-7.18 2352032 PAGE 63





FINANCES, CONTRACTS, AND CORPORATE AREAS. RELEVANT RECORDS MUST NOT BE

DESTROYED WHENEVER LITIGATION OR A GOVERNMENT INVESTIGATION OR AUDIT IS

PENDING. UNTIL THE MATTER IS CLOSED, DESTROYING RECORDS TO AVOID

DISCLOSURE IN A LEGAL PROCEEDING MAY CONSTITUTE A CRIMINAL OFFENSE.

PLEASE REFER TO THE POLICY BELOW, AND WHEN IN DOUBT, CONTACT HUMAN

RESOURCES.

RECORD TYPE: ORGANIZATIONAL

1. INCORPORATION DOCUMENTS INCLUDING ARTICLES OF INCORPORATION, BYLAWS,

AND RELATED DOCUMENTS ARE PERMANENTLY KEPT ON FILE.

2. TAX-EXEMPTION DOCUMENTS INCLUDING APPLICATION FOR TAX EXEMPTION (IRS

FORM 1023), IRS DETERMINATION LETTER, AND ANY RELATED DOCUMENTS ARE

PERMANENTLY KEPT ON FILE. FEDERAL LAW REQUIRES COPIES OF THESE DOCUMENTS

TO BE HELD AT ORGANIZATION'S HEADQUARTERS OFFICE. THESE RECORDS MUST BE

MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.

3. MEETING/BOARD DOCUMENTS INCLUDING AGENDAS, MINUTES AND RELATED

DOCUMENTS ARE PERMANENT. CARE IS TAKEN TO INCLUDE ONLY NECESSARY

INFORMATION IN THESE DOCUMENTS.

RECORD TYPE: FINANCIAL

1. PAYCHECKS ARE KEPT ON FILE FOR 8 YEARS.

2. PAYROLL RECORDS-INCLUDING NAME, ADDRESS, SOCIAL SECURITY NUMBER, WAGE

RATE, NUMBER OF HOURS WORKED DAILY, AND WEEKLY GROSS WAGES, DEDUCTIONS,

ALLOWANCES CLAIMED AND NET WAGES ARE KEPT ON FILE FOR 6 YEARS.

3. YEAR END TREASURER'S FINANCIAL REPORT/STATEMENT ARE KEPT PERMANENTLY.

75649T 1592 V 15-7.18 2352032 PAGE 64





4. TREASURER'S REPORTS, ARE KEPT ON FILE FOR THREE YEARS AND ARE STORED

WITH FINANCIAL RECORDS.

5. BANK STATEMENTS, CANCELED CHECKS, CHECK REGISTERS, INVESTMENT

STATEMENTS, GENERAL LEDGER, AND RELATED DOCUMENTS ARE KEPT ON FILE FOR

SEVEN YEARS AND ARE STORED WITH FINANCIAL RECORDS.

6. ANNUAL INFORMATION RETURNS (IRS FORMS 990) ARE KEPT ON FILE FOR SEVEN

YEARS AND ARE STORED WITH FINANCIAL RECORDS. FEDERAL LAW REQUIRES THAT

THE THREE MOST RECENT YEARS RETURNS BE KEPT IN THE ORGANIZATION'S

HEADQUARTERS OFFICE AND BE MADE AVAILABLE FOR PUBLIC INSPECTION UPON

REQUEST.

RECORD TYPE: HUMAN RESOURCES

1. PERSONNEL FILE RECORDS-INCLUDING APPLICATION, PRE-EMPLOYMENT TESTS,

PERFORMANCE APPRAISAL, RATE CHANGES, POSITION CHANGES, TRANSFERS,

PROMOTIONS, DEMOTIONS, DOCUMENTATION OF DISCIPLINARY ACTIONS AND JOB

DESCRIPTIONS ARE KEPT ON FILE FOR 6 YEARS AFTER TERMINATION.

2. EMPLOYEE MEDICAL RECORDS AND ANALYSIS AS REQUIRED BY OSHA ARE KEPT ON

FILE FOR THE DURATION OF EMPLOYMENT PLUS 30 YEARS.

3. MSDS (MATERIAL SAFETY DATA SHEETS) OR SOME IDENTIFICATION OF SUBSTANCE

USED OR FOUND ARE KEPT ON FILE FOR THE DURATION OF EMPLOYMENT PLUS 30

YEARS.

4. RECORDS PERTAINING TO UNFAIR OR DISCRIMINATORY EMPLOYMENT PRACTICES

AND AMERICANS WITH DISABILITIES ACT ARE KEPT UNTIL THE FINAL DISPOSITION

OF THE CHARGE OR ACTION.

75649T 1592 V 15-7.18 2352032 PAGE 65





5. ACCIDENT REPORTS AND WORKERS' COMPENSATION CLAIMS ARE KEPT ON FILE FOR

11 YEARS.

6. APPLICATIONS (NON-HIRES) ARE KEPT ON FILE FOR 1 YEAR.

7. ATTENDANCE RECORDS ARE KEPT ON FILE FOR 4 YEARS.

8. COBRA RECORDS ARE KEPT ON FILE FOR 3 YEARS.

9. EMPLOYEE BENEFIT PLANS ARE KEPT ON FILE FOR 2 YEARS FOLLOWING THE

TERMINATION OF THE PLAN.

10. EMPLOYMENT ADVERTISEMENTS ARE KEPT ON FILE FOR 3 YEARS.

11. ERISA RETIREMENT AND PENSION RECORDS (EMPLOYEE RETIREMENT INCOME

SECURITY ACT) ARE KEPT ON FILE INDEFINITELY.

12. I-9 FORMS ARE KEPT ON FILE FOR 3 YEARS AFTER EMPLOYMENT BEGINS OR 1

YEAR BEYOND TERMINATION, WHICHEVER IS LATER.

13. LABOR CONTRACTS ARE KEPT ON FILE INDEFINITELY.

14. MEDICAL AND EXPOSURE RECORDS RELATING TO TOXIC SUBSTANCES ARE KEPT ON

FILE FOR 40 YEARS.

15. OSHA LOGS (OCCUPATIONAL SAFETY AND HEALTH ACT) EMPLOYERS MUST

MAINTAIN A LOG THAT RECORDS WORKER'S JOB-RELATED INJURIES OR ILLNESSES,

THE DATES, AND THE NATURE OF THE INCIDENTS. LOGS ARE KEPT ON FILE FOR 5

YEARS FOLLOWING THE END OF THE YEAR WHICH THEY RELATE, PLUS THE CURRENT

YEAR.

16. OSHA TRAINING DOCUMENTATION ARE KEPT ON FILE FOR 3 YEARS.

COMPENSATION POLICY

FORM 990, PART VI, SECTION B, LINES 15A AND 15B

AIMS: THE PRIMARY AIMS OF THE COMPENSATION POLICY AND COMPENSATION

PRACTICES OF THE INSTITUTE FOR HEALTHCARE IMPROVEMENT ARE THESE:

75649T 1592 V 15-7.18 2352032 PAGE 66





(A) TO PRESERVE AND ENHANCE THE VITALITY OF IHI AS A SYSTEM,

(B) TO ATTRACT AND RETAIN WORLD-CLASS STAFF AND FACULTY BEST ABLE TO

ADVANCE IHI'S MISSION,

(C) TO FOSTER A CULTURE OF TEAMWORK, TRUST, AND TRANSPARENCY, AND

(D) TO NURTURE PRIDE AND JOY IN WORK. IN PURSUIT OF OUR AIMS, IHI

EMBRACES "TOTAL COMPENSATION" AS A MANAGERIAL RESOURCE. THUS, CONSISTENT

WITH REGULATORY AND LEGAL REQUIREMENTS, IHI EMPLOYEES EXPERIENCE GROWTH

AND EDUCATION OPPORTUNITIES, CELEBRATIONS, ENGAGEMENT IN TEAMS AND

PROJECTS, FLEXIBILITY REGARDING FAMILY AND PERSONAL CIRCUMSTANCES, AND

OTHER NON-FINANCIAL BENEFITS OF BEING RESPECTED AND VALUED MEMBERS OF A

COMMUNITY WITH A SHARED AND INSPIRING PURPOSE.

1. REGULATORY AND LEGAL COMPLIANCE: THE COMPENSATION POLICY OF THE

INSTITUTE FOR HEALTHCARE IMPROVEMENT (IHI) WILL REMAIN AT ALL TIMES

CONSISTENT WITH THE REGULATORY AND LEGAL REQUIREMENTS OF COMPENSATION IN

A 501(C)(3) NON-PROFIT ORGANIZATION. THE IHI BOARD AND MANAGEMENT WILL

REGULARLY SEEK, OBTAIN, AND DOCUMENT INDEPENDENT OUTSIDE CONSULTATIVE

REVIEW TO ASSURE SUCH CONSISTENCY.

2. BASE SALARY AND TOTAL CASH COMPENSATION TARGET LEVELS: IHI AIMS TO

COMPENSATE EMPLOYEES WITH BASE SALARIES AND TOTAL CASH COMPENSATION

WITHIN THE 50TH TO 75TH PERCENTILE OF SALARIES AND TOTAL CASH

COMPENSATION FOR COMPARABLE JOBS IN COMPARABLE ORGANIZATIONS. IHI WILL

REGULARLY SEEK AND OBTAIN INFORMATION ON COMPARABILITY FROM INDEPENDENT

CONSULTANTS AND RELEVANT, ACCESSIBLE DATABASES.

3. ADJUSTMENT TO BASE SALARY AND TOTAL CASH COMPENSATION FOR CHANGES IN

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RESPONSIBILITY: IHI MANAGEMENT WILL REGULARLY REVIEW AND ADJUST SALARIES

AND TOTAL CASH COMPENSATION FOR INDIVIDUAL EMPLOYEES TO TARGET THE 50TH

TO 75TH PERCENTILE AS INDIVIDUALS' SPANS OF CONTROL AND RESPONSIBILITY

CHANGE, AND WILL REPORT ANNUALLY TO THE IHI BOARD, FOR BOARD REVIEW AND

APPROVAL, ON THE OVERALL PROFILE OF SALARY AND TOTAL CASH COMPENSATION

LEVELS.

4. ANNUAL ADJUSTMENTS TO BASE SALARIES: AT LEAST ANNUALLY, IHI

MANAGEMENT, THROUGH THE BUDGET PROCESS, WILL REVIEW COMPARATIVE LOCAL AND

NATIONAL COMPENSATION DATA AND RECOMMEND INCREASES, IF ANY, TO THE BASE

SALARIES OF EMPLOYEES. IT IS THE INTENT OF IHI TO MAINTAIN COMPETITIVE

TOTAL COMPENSATION AT THE TARGETED LEVELS (SEE #2 ABOVE) COMPARED TO THE

MARKETS WHERE THE ORGANIZATION RECRUITS TALENT. MANAGEMENT RECOMMENDATION

WILL BE PRESENTED TO THE FINANCE COMMITTEE AND BE APPROVED BY THE IHI

BOARD, RECOGNIZING THE OVERALL CIRCUMSTANCES OF IHI AND THE AIMS OF THE

COMPENSATION POLICY AND PRACTICES.

5. FOCUS ON ORGANIZATIONAL PERFORMANCE: IHI DOES NOT USE INDIVIDUALIZED

"MERIT PAY" OR INDIVIDUALIZED PERFORMANCE-BASED CHANGES IN COMPENSATION

OR BONUSES. THE AWARDING OF PERIODIC CASH BONUSES WILL BE BASED ON THE

DOCUMENTED ASSESSMENT BY THE COMPENSATION COMMITTEE AND THE BOARD OF THE

ORGANIZATION'S OVERALL ACHIEVEMENTS IN FURTHERING ITS MISSION AND

OBJECTIVES.

6. BONUSES TO NON-EXECUTIVE EMPLOYEES: BONUSES TO ALL NON-EXECUTIVE

EMPLOYEES AS A GROUP, BASED ON SUCCESSFUL OVERALL PERFORMANCE, MAY BE

AWARDED IN GRATITUDE AND CELEBRATION BY THE BOARD ANNUALLY OR OTHERWISE,

UPON RECOMMENDATION FROM IHI MANAGEMENT. IN GENERAL, THE ABSOLUTE BONUS

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AMOUNT FOR ALL SALARIED, NON-EXECUTIVE EMPLOYEES WILL BE EQUAL, ADJUSTED

PRO RATA FOR FULL-TIME EQUIVALENCY AND, FOR THE FIRST TWO YEARS OF

EMPLOYMENT, LENGTH OF SERVICE.

7. BOARD REVIEW AND APPROVAL OF EXECUTIVE COMPENSATION: THE COMPENSATION,

BENEFITS, AND BONUSES FOR THE CEO, COO, AND OTHER IHI EXECUTIVES WILL BE

ESTABLISHED BY THE IHI BOARD WITH GUIDANCE FROM INDEPENDENT, OUTSIDE

CONSULTANTS, AND REVIEWED NO LESS FREQUENTLY THAN EVERY THREE YEARS.

8. BENEFITS: TO THE EXTENT ALLOWED BY LAW AND REGULATION, THE IHI FAVORS

HIGHLY FLEXIBLE BENEFITS FOR EMPLOYEES, ENCOURAGING INDIVIDUALS TO

CUSTOMIZE THEIR BENEFIT PACKAGES TO MEET THEIR INDIVIDUAL NEEDS. OVERALL

BENEFIT LEVELS WILL BE REVIEWED AND APPROVED BY THE BOARD NO LESS OFTEN

THAN EVERY THREE YEARS WITH OUTSIDE CONSULTATION FOR COMPETITIVENESS AND

COMPARABILITY WITH BENEFITS IN SIMILAR ORGANIZATIONS.

9. ROLE AND PROCEDURES FOR IHI BOARD COMPENSATION COMMITTEE: PROCEDURES

FOR OVERSIGHT OF COMPENSATION AND BENEFITS FOR IHI EXECUTIVES ARE

EXERCISED ON BEHALF OF THE IHI BOARD BY THE IHI BOARD COMPENSATION

COMMITTEE, WHOSE MEMBERSHIP IS ESTABLISHED BY THE FULL BOARD. THE

CONCLUSIONS AND RECOMMENDATIONS OF THE COMPENSATION COMMITTEE ARE

REVIEWED AND APPROVED REGULARLY BY THE FULL IHI BOARD. THE COMPENSATION

COMMITTEE ALSO REVIEWS AND GUIDES MANAGEMENT ACTIVITY WITH RESPECT TO

IMPLEMENTATION OF THE COMPENSATION POLICY FOR NON-EXECUTIVE EMPLOYEES.

DISCUSSIONS OF ALL COMPENSATION MATTERS WITHIN THE COMPENSATION COMMITTEE

OR THE FULL BOARD ARE DOCUMENTED IN WRITING. THIS POLICY WAS APPROVED BY

THE IHI BOARD OF DIRECTORS ON SEPTEMBER 20, 2007.

JOINT VENTURE

FORM 990, PART VI, SECTION B, LINES 16A AND 16B

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POLICY ON BUSINESS RELATIONSHIPS - COMMERCIAL CO-VENTURES, PARTNERSHIPS,

ETC. APRIL 2009 POLICY:

THIS POLICY REQUIRES THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN

JOINT VENTURES AND OTHER ARRANGEMENTS UNDER APPLICABLE FEDERAL TAX LAW,

AND TAKE STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT

TO SUCH ARRANGEMENTS. PRIOR TO ENTERING INTO ANY POTENTIAL BUSINESS

RELATIONS, IHI REQUIRES THAT ALL RELATIONSHIPS GO THOROUGH A VETTING

PROCESS THAT INCLUDES A THOROUGH REVIEW BY OUR NEW BUSINESS TEAM WHICH

INCLUDES REPRESENTATIVES THROUGHOUT THE ORGANIZATION INCLUDING BUSINESS

DEVELOPMENT, MARKETING, FINANCE, RESOURCES AND THE EXECUTIVE TEAM. DURING

THE VETTING PROCESS, RELATIONSHIPS THAT MAY CONSTITUTE CO-VENTURES,

PARTNERSHIPS, ETC. NEED TO BE REVIEWED WITH OUR ATTORNEYS (GOULSTON AND

STORRS) AND OUR AUDIT AND TAX FIRM (KPMG). OUR SENIOR VICE PRESIDENT

MANAGES THE RELATIONSHIP WITH OUR LEGAL TEAM, AND OUR CHIEF FINANCIAL

OFFICER MANAGES OUR RELATIONSHIP WITH OUR AUDIT FIRM. BEFORE PROCEEDING

WITH ENTERING INTO ANY NEW AGREEMENTS THAT WOULD CONSTITUTE A CO-VENTURE,

OR PARTNERSHIP, OR ARRANGEMENT THAT COULD AFFECT OUR EXEMPT STATUS, BOTH

LEGAL AND AUDIT/TAX CONCLUSIONS ARE PRESENTED TO THE NEW BUSINESS TEAM

FOR REVIEW AND APPROVAL. WHEN APPROPRIATE THE CHIEF OPERATING OFFICER AND

EXECUTIVE VICE PRESIDENT MAY REQUEST THAT THE RELATIONSHIP/AGREEMENT BE

PRESENTED TO AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND OR

THE ENTIRE BOARD BEFORE PROCEEDING.

DEFINITIONS: COMMERCIAL CO-VENTURE - AN ARRANGEMENT BETWEEN A CHARITABLE

OR NONPROFIT ORGANIZATION AND A FIRM OTHERWISE ENGAGED IN BUSINESS, WHERE

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A PRODUCT, SERVICE OR EVENT IS PROMOTED BY THE COMMERCIAL BUSINESS ON THE

REPRESENTATION THAT SOME PART OF THE PROCEEDS WILL BENEFIT THE CHARITABLE

ORGANIZATION. THE LAWS INVOLVING COMMERCIAL CO-VENTURES ARE COMPLEX AND

STILL EMERGING AT BOTH THE FEDERAL AND STATE LEVELS. A FEW STATES REQUIRE

REGISTRATION. IN OTHERS, THE CONTRACT BETWEEN THE ORGANIZATION AND THE

COMMERCIAL CO-VENTURER IS REQUIRED TO CONTAIN A NUMBER OF PROVISIONS AND,

IN SOME STATES, THE CONTRACT HAS TO BE FILED.

PARTNERSHIP - A CONTRACTUAL ARRANGEMENT MAY CREATE A PARTNERSHIP FOR

FEDERAL INCOME TAX PURPOSES IF THE PARTIES CARRY ON A TRADE, BUSINESS OR

OTHER VENTURE AND DIVIDE THE PROFITS ARISING FROM SUCH ACTIVITIES.

CHARITABLE STATUS AND JOINT VENTURE STRUCTURE:

BELOW ARE SOME OF THE OPERATIONAL AND ORGANIZATIONAL REQUIREMENTS IMPOSED

ON JOINT VENTURES BETWEEN TAX-EXEMPT ORGANIZATIONS AND FOR-PROFIT

ORGANIZATIONS AND OTHER LEGAL CONCERNS IN ORDER TO PROTECT IHI'S

TAX-EXEMPT STATUS. THESE REPRESENT ONLY A PORTION OF THE LEGAL AND TAX

REQUIREMENTS AND ALL INDIVIDUAL AGREEMENTS NEED TO BE REVIEW BY COUNSEL

AS WELL AS AUDIT AND TAX STAFF (AS REFERENCED ABOVE). THESE REQUIREMENTS

AND CONCERNS INCLUDE THE FOLLOWING:

1. IHI NEEDS EITHER TO CONTROL ANY GOVERNING BOARD RELATED TO THE

RELATIONSHIP OR, AT THE MINIMUM, TO CONTROL ANY ACTION TAKEN OR DECISION

MADE BY THE BOARD IN CONNECTION WITH IHI'S CHARITABLE MISSION TO ENSURE

THAT THE ACTION OR DECISION FURTHERS IHI'S EXEMPT PURPOSE UNDER SECTION

501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (THE "CODE").

FOR EXAMPLE, IHI SHOULD HAVE APPROVAL OVER CONTENT OF ANY EVENT OR

75649T 1592 V 15-7.18 2352032 PAGE 71





CONFERENCE TO ENABLE IT TO ENSURE THAT IT IS CONSISTENT WITH IHI'S EXEMPT

PURPOSES.

2. IHI SHOULD BE ABLE TO TERMINATE THE AGREEMENT IF IT MAKES A

DETERMINATION IN GOOD FAITH THAT THE OPERATION OF THE FORUM IS

INCONSISTENT WITH THE FURTHERANCE OF ITS EXEMPT PURPOSE UNDER SECTION

501(C)(3) OF THE CODE.

3. THE SHARING OF REVENUES, LOSSES AND TAX ITEMS SHOULD BE IN PROPORTION

WITH OWNERSHIP INTERESTS. ADDITIONALLY, THE AGREEMENT SHOULD SPECIFY

WHETHER TAX ITEMS TO BE SHARED EQUALLY ARE DETERMINED UNDER U.S. OR THE

COUNTRY OF ORIGIN (OF THE OTHER ENTITY) TAX PRINCIPLES.

4. THE PARTIES SHOULD ASSIGN SOME VALUE TO THEIR CONTRIBUTIONS TO THE

AGREEMENT IN ORDER TO SUPPORT THEIR RESPECTIVE OWNERSHIP INTERESTS.

5. THE AGREEMENT SHOULD SPECIFY HOW OFTEN DISTRIBUTIONS SHOULD BE MADE TO

THE PARTIES AND WHETHER THERE WILL BE ANY DISTRIBUTIONS FOR THE PURPOSE

OF PAYING TAX ON THE INCOME FROM THE AGREEMENT, IF ANY.

6. ANY COMPENSATION ARRANGEMENT, LEASES, SERVICE PROVIDER AGREEMENT OR

ANY OTHER TYPE OF OBLIGATION OF THE AGREEMENT MUST BE REASONABLE AND

REFLECT THE FAIR MARKET VALUE OF WHAT IS BEING PROVIDED.

7. ALL INCOME ARISING FROM ACTIVITIES NOT SUBSTANTIALLY RELATED TO IHI'S

CHARITABLE MISSION (E.G. ADVERTISING INCOME) WILL BE UBTI TO IHI. IHI'S

ORGANIZING DOCUMENTS AND APPLICATION FOR EXEMPTION (FORM 1023) SHOULD BE

REVIEWED TO DETERMINE WHETHER INCOME FROM AN OWNERSHIP INTEREST IN THE

FORUM (OTHER THAN ADVERTISING INCOME) IS UBTI. AS A JOINT

VENTURE/PARTNERSHIP, IHI MAY RECEIVE INCOME FROM SOURCES OUTSIDE THE

U.S., I.E., REVENUE FROM CONFERENCE FEES OR ADMISSIONS. THIS MEANS THAT

75649T 1592 V 15-7.18 2352032 PAGE 72





EVEN THOUGH IHI WOULD BE EXEMPT FROM U.S. TAX ON THE INCOME, IF ANY, IT

RECEIVES FROM THE AGREEMENT, IT MAY BE SUBJECT TO TAXES OUTSIDE THE U.S.

FOR EXAMPLE: UNDER UK TAX LAW, A NON-UK RESIDENT MAY BE TAXED ON THE

PROFITS OF ANY TRADE CARRIED ON WITHIN THE UK. THIS MEANS THAT EVEN

THOUGH IHI WOULD BE EXEMPT FROM U.S. TAX ON THE INCOME, IF ANY, IT

RECEIVES FROM THE FORUM, IT MAY BE SUBJECT TO UK TAX.

PUBLIC DISCLOSURE

FORM 990, PART VI, SECTION C, LINE 19

THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY,

FINANCIAL STATEMENTS, AND FORM 990 ARE AVAILABLE UPON REQUEST. THE FORM

990 IS ALSO POSTED ON WWW.GUIDESTAR.ORG AND THE WEBSITE OF THE

MASSACHUSETTS ATTORNEY GENERAL.ATTACHMENT 1

FORM 990, PART III - PROGRAM SERVICE, LINE 4C

COURSES AND OTHER PROGRAMS:

-PROFESSIONAL DEVELOPMENT PROGRAMS

PROFESSIONAL DEVELOPMENT PROGRAMS AND SHORTER TWO-DAY SEMINARS ARE

OFFERED TO HELP ORGANIZATIONS DEVELOP THEIR INTERNAL CAPACITY AND

INFRASTRUCTURE FOR SAFETY AND IMPROVEMENT. IHI'S SEMINARS OFFER

HEALTH CARE PROFESSIONALS MANY OPPORTUNITIES TO LEARN THE LATEST

IMPROVEMENT IDEAS, CONNECT WITH LIKE-MINDED COLLEAGUES, AND

GENERATE MOMENTUM FOR CHANGE IN THEIR ORGANIZATIONS.

-NATIONAL FORUM ON QUALITY IMPROVEMENT IN HEALTHCARE

HELD EACH DECEMBER, THIS MAJOR U.S. CONFERENCE ON IMPROVEMENT IN

HEALTH CARE DRAWS NEARLY 6,000 PARTICIPANTS FROM AROUND THE WORLD

75649T 1592 V 15-7.18 2352032 PAGE 73





ATTACHMENT 1 (CONT'D)

WHO ATTEND HUNDREDS OF WORKSHOPS, PLENARY SESSIONS, AND SPECIAL

INTEREST MEETINGS. THOUSANDS MORE JOIN THE CONFERENCE VIA

SATELLITE BROADCAST.

-INTERNATIONAL SUMMIT ON IMPROVING PATIENT CARE IN THE OFFICE

PRACTICE AND THE COMMUNITY

THIS ANNUAL WORLD CLASS CONFERENCE FEATURES TOP FACULTY WHO BRING

THE BEST IDEAS ON AREAS THAT ARE RIPE FOR IMPROVEMENT WITHIN THE

OFFICE PRACTICE AND COMMUNITY-BASED CARE SETTINGS. OFFICE PRACTICE

STAFF AND COMMUNITY CARE ORGANIZATIONS COME TOGETHER TO SHARE

THEIR GROWING KNOWLEDGE AND BUILD NEW PARTNERSHIPS TO DELIVER

RELIABLE, PATIENT CENTERED, EVIDENCE BASED CARE FOR EVERY PATIENT,

EVERY TIME.

-GLOBAL FORUMS ON QUALITY AND SAFETY IN HEALTHCARE

IHI PARTNERS WITH ORGANIZATIONS IN DIFFERENT REGIONS OF THE WORLD

TO BRING LARGE CONFERENCES TO HEALTH CARE LEADERS, CLINICIANS, AND

IMPROVERS. IHI, IN PARTNERSHIP WITH LOCAL ORGANIZATIONS, IS

CURRENTLY PLANNING TO HOLD FORUMS IN EUROPE, THE MIDDLE EAST,

SOUTHEAST ASIA AND LATIN AMERICA. PARTICIPANTS OF GLOBAL FORUMS

TAKE PART IN A MULTITUDE OF SESSIONS THAT RANGE FROM THE BASIC

DISCIPLINES OF QUALITY IMPROVEMENT TO THE LATEST THINKING IN HOW

TO IMPROVE QUALITY AND SAFETY.

-PASSPORT TO IHI TRAINING

PASSPORT TO IHI TRAINING IS A MEMBERSHIP PROGRAM THAT PROVIDES

75649T 1592 V 15-7.18 2352032 PAGE 74






DISCOUNTS ON AND FREE ACCESS TO SELECT PROGRAMS TO BUILD

IMPROVEMENT SKILLS AND ACCELERATE IMPROVEMENT INITIATIVES.

PASSPORT IS DESIGNED TO HELP ORGANIZATIONS BUILD FUNDAMENTAL

SKILLS, GROW LEADERSHIP, DEVELOP EXPERTISE, AND LEARN FROM

OTHERS.

-IHI VIRTUAL EXPEDITIONS

EXPEDITIONS ARE TWO TO FOUR MONTH, INTERACTIVE, VIRTUAL PROGRAMS

THAT HELP ORGANIZATIONS IMPROVE CARE AT THEIR ORGANIZATIONS.

EXPEDITIONS ARE TEAM-BASED, ACTION-ORIENTED, AND BRINGS TOGETHER

TEAMS FROM ACROSS THE GLOBE. THE INSTITUTE OFFERS OVER 15

EXPEDITIONS EACH CALENDAR YEAR.

-100 MILLION HEALTHIER LIVES

IHI IS A CONVENER AND PARTNER IN A GLOBAL, MULTI-SECTOR MOVEMENT

TO CREATE BETTER HEALTH, WELL-BEING, AND EQUITY FOR 100 MILLION

PEOPLE BY 2020. IHI'S VISION IS TO TRANSFORM THE WAY THE WORLD

THINKS AND ACTS TO IMPROVE HEALTH. TO FACILITATE THIS EFFORT, WE

WORK ALONGSIDE IHI'S PARTNERS TO ENGAGE INDIVIDUALS AND

COMMUNITIES IN THE WORK OF HEALTH IMPROVEMENT; CO-DEVELOP AND

SHARE USEFUL TOOLS TO SUPPORT ACTION; AND TEACH EMPOWERING SKILLS

IN LEADERSHIP AND IMPROVEMENT. IHI'S GOAL IS TO MAKE IT EASY,

INSPIRING, AND JOYFUL FOR ANYONE TO BEGIN OR ACCELERATE THEIR

JOURNEY TOWARDS IMPROVING HEALTH.

-IHI TRIPLE AIM

75649T 1592 V 15-7.18 2352032 PAGE 75






IHI BELIEVES THAT DRAMATIC IMPROVEMENT OF A HEALTH CARE SYSTEM CAN

BEST BE ACHIEVED THROUGH AN OVERARCHING AGENDA THAT SEEKS TO

OPTIMIZE PERFORMANCE ON THREE DIMENSIONS OF CARE: BETTER CARE FOR

INDIVIDUALS, BETTER HEALTH FOR POPULATIONS, AND LOWER PER CAPITA

COSTS. IHI IS LEADING CUTTING EDGE INITIATIVES ORGANIZED AROUND

THE SIMULTANEOUS PURSUIT OF THESE GOALS WHAT IHI CALLS THE TRIPLE

AIM.

-IHI OPEN SCHOOL FOR HEALTH PROFESSIONS

THE IHI OPEN SCHOOL IS AN INTERPROFESSIONAL EDUCATIONAL COMMUNITY

THAT PROVIDES STUDENTS AND PROFESSIONALS WITH THE SKILLS TO BECOME

CHANGE AGENTS IN HEALTH CARE. THE IHI OPEN SCHOOL HAS MORE THAN

800 CHAPTERS IN MORE THAN 80 COUNTRIES AROUND THE WORLD, AND A

GROWING CATALOG OF ONLINE COURSES IN QUALITY IMPROVEMENT; PATIENT

SAFETY; LEADERSHIP; PERSON AND FAMILY CENTERED CARE; TRIPLE AIM

FOR POPULATIONS; AND QUALITY, COST, AND VALUE. SELECT COURSES HAVE

BEEN TRANSLATED INTO SPANISH AND PORTUGUESE AND HAVE BEEN

INTEGRATED INTO MORE THAN 1,000 UNIVERSITY AND HEALTH CARE

ORGANIZATIONAL TRAINING PROGRAMS AROUND THE WORLD.

ATTACHMENT 2

FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES

DESCRIPTION GRANTS EXPENSES REVENUE

NATIONAL FORUM 4,356,882. 7,130,934.

INNOVATION 1,763,402.

75649T 1592 V 15-7.18 2352032 PAGE 76




INSTITUTE FOR HEALTHCARE IMPROVEMENT 38-3017223ATTACHMENT 2 (CONT'D)

FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES

DESCRIPTION GRANTS EXPENSES REVENUE

TOTALS 6,120,284. 7,130,934.

ATTACHMENT 3

990, PART VII- COMPENSATION OF THE FIVE HIGHEST PAID IND. CONTRACTORS

NAME AND ADDRESS DESCRIPTION OF SERVICES COMPENSATION

ABRIDGE INFO SYSTEMS INC. IT SERVICES 412,826.255 NOTH RD., UNIT 78CHELMSFORD, MA 01824

SOMAVA STOUT PROGRAM CONSULTING 298,524.350 MAIN ST., 5TH FL.MALDEN, MA 02148

BLACKPEARL SOLUTIONS, INC. IT SERVICES 288,356.14 HARDING ST.LEOMINSTER, MA 01453

JOHN WHITTINGTON PROGRAM CONSULTING 265,500.1 MARTHA AVE.NORMAL, IL 61761

LLOYD PROVOST PROGRAM CONSULTING 264,000.115 E 5TH ST., SUITE 300AUSTIN, TX 78701

ATTACHMENT 4

FORM 990, PART X - INVESTMENTS - PUBLICLY TRADED SECURITIES

BEGINNING ENDING COSTDESCRIPTION BOOK VALUE BOOK VALUE OR FMV

NON-GOVERNMENT SECURITIES:

CORPORATE DEBT SECURITIES 182,630. 102,011. FMV

75649T 1592 V 15-7.18 2352032 PAGE 77




INSTITUTE FOR HEALTHCARE IMPROVEMENT 38-3017223ATTACHMENT 4 (CONT'D)

FORM 990, PART X - INVESTMENTS - PUBLICLY TRADED SECURITIES

BEGINNING ENDING COSTDESCRIPTION BOOK VALUE BOOK VALUE OR FMV

MUTUAL FUNDS 86,013,313. 82,580,061. FMV

MONEY MARKET FUNDS 423,319. 704,329. FMV

GOVERNMENT SECURITIES:

GOVERNMENT DEBT SECURITIES 4,431. 3,114. FMV

TOTALS 86,623,693. 83,389,515.

75649T 1592 V 15-7.18 2352032 PAGE 78

Documents

INSTITUTE FOR HEALTHCARE IMPROVEMENT · 2017-03-24 · Return of Organization Exempt From Income Tax OMB No. 1545-0047 Form 990 Under section 501(c), 527, or 4947(a)(1) of the Internal